Provider Demographics
NPI:1154505725
Name:BERNSTEIN, SARA J (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:J
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10131 FOREST HILL BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6155
Mailing Address - Country:US
Mailing Address - Phone:561-784-1933
Mailing Address - Fax:561-784-5109
Practice Address - Street 1:10131 FOREST HILL BLVD STE 130
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6155
Practice Address - Country:US
Practice Address - Phone:561-784-1933
Practice Address - Fax:561-784-5109
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 79627207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL264231000Medicaid
FLH64279Medicare UPIN
FL264231000Medicaid