Berk, Stuart

Berk, Stuart is an individual health care provider with primary practice located at 110 Longwood Ave , Rockledge FL 32955-2828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Berk, Stuart can be contacted via phone (800) 476-8646.

Contact Information

Primary practice address
110 Longwood Ave Rockledge FL 32955-2828
Phone: (800) 476-8646
Fax: (919) 382-3210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME51149 Florida

Profile Details

NPI number 1982607388
LBN Legal business name Berk, Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jul 21st, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982607388 NPPES
Florida Other 05983 GROUP # 34457
Florida MEDICAID 048212900 GROUP # 34457
Florida Other 05983 GROUP # 34457

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