Basic Information
| Provider Information | |||||||||
| NPI: | 1144329780 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BERKOWITZ | ||||||||
| FirstName: | BRUCE | ||||||||
| MiddleName: | M. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 SOUTH PINE ISLAND ROAD | ||||||||
| Address2: | STE 300 | ||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333243178 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544736344 | ||||||||
| FaxNumber: | 9544769077 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 SOUTH PINE ISLAND ROAD | ||||||||
| Address2: | STE 300 | ||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333243178 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544736344 | ||||||||
| FaxNumber: | 9544769077 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2006 | ||||||||
| LastUpdateDate: | 10/09/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | ME37474 | FL | N | Other Service Providers | Specialist | 207X00000X | ME37474 | FL | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.