| Jonathan B Berger M D P A | |
|
1500 Nw 10th Ave Suite 105 Boca Raton FL 33486-1312 | |
| (561) 361-8106 | |
| (561) 361-1010 |
| Full Name | Jonathan B Berger M D P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 1500 Nw 10th Ave, Boca Raton, Florida |
| Authorized Official Name and Position | Jonathan B Berger (OWNER) |
| Authorized Official Contact | 5613618106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan B Berger M D P A 1500 Nw 10th Ave Suite 105 Boca Raton FL 33486-1312 Ph: (561) 361-8106 | Jonathan B Berger M D P A 1500 Nw 10th Ave Suite 105 Boca Raton FL 33486-1312 Ph: (561) 361-8106 |
| NPI Number | 1568661940 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 07/16/2007 |
| Medicare PECOS PAC ID | 6204924541 |
|---|---|
| Medicare Enrollment ID | O20071120000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568661940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jonathan B Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336237031 PECOS PAC ID: 3678661915 Enrollment ID: I20071120000216 |
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