Berk, Lawrence Bruce
Berk, Lawrence Bruce is an individual health care provider with primary practice located at 1400 N Us Highway 441 Ste 540 , Lady Lake FL 32159-8987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Berk, Lawrence Bruce can be contacted via phone (352) 753-9777.Contact Information
Primary practice address
1400 N Us Highway 441 Ste 540
Lady Lake FL 32159-8987
Phone: (352) 753-9777
Fax: (866) 446-1888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME64597 | Florida |
Profile Details
| NPI number | 1447251715 |
|---|---|
| LBN Legal business name | Berk, Lawrence Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 19th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447251715 | NPPES |
| Florida | Other | 23146 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 275622600 | BLUE CROSS BLUE SHIELD |
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