Berne, Evelyn
Berne, Evelyn is an individual health care provider with primary practice located at 9980 Central Park Blvd N Suite 114, Boca Raton FL 33428-1762. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Berne, Evelyn can be contacted via phone (561) 420-8770.Contact Information
Primary practice address
9980 Central Park Blvd N Suite 114
Boca Raton FL 33428-1762
Phone: (561) 420-8770
Fax: (561) 420-8771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L0030 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME116831 | Florida |
Profile Details
| NPI number | 1619954930 |
|---|---|
| LBN Legal business name | Berne, Evelyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Apr 25th, 2016 - about 10 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 | 1619954930 | NPPES |
| Florida | Other | 367487 | AVMED |
| Florida | Other | F00201543301 | AVMED |
| Florida | Other | 0455338 | AVMED |
| Florida | Other | 13477 | AVMED |
| Florida | Other | P1012227 | AVMED |
| Florida | Other | P951434 | AVMED |
| Florida | MEDICAID | 011700400 | AVMED |
| Florida | Other | 1174004 | AVMED |
| Florida | Other | 7172235 | AVMED |
| Florida | Other | P01221615 | AVMED |
| Florida | Other | 14R9Q | AVMED |
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