Provider Demographics
NPI:1063654671
Name:BHRT INC.
Entity Type:Organization
Organization Name:BHRT INC.
Other - Org Name:BODYLOGICMD OF PALM BEACHES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-804-1632
Mailing Address - Street 1:3300 PGA BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2821
Mailing Address - Country:US
Mailing Address - Phone:888-804-1632
Mailing Address - Fax:888-804-1636
Practice Address - Street 1:3300 PGA BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2821
Practice Address - Country:US
Practice Address - Phone:888-804-1632
Practice Address - Fax:888-804-1636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME45620174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty