Provider Demographics
NPI:1073582292
Name:STEVEN W BERLINER MD PA
Entity Type:Organization
Organization Name:STEVEN W BERLINER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:BERLINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-498-2000
Mailing Address - Street 1:5258 LINTON BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6540
Mailing Address - Country:US
Mailing Address - Phone:561-498-2000
Mailing Address - Fax:561-496-7074
Practice Address - Street 1:5258 LINTON BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6540
Practice Address - Country:US
Practice Address - Phone:561-498-2000
Practice Address - Fax:561-496-7074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 25336208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL39711AMedicare ID - Type Unspecified