Provider Demographics
NPI:1336128206
Name:BERMAN, DANIEL SOLOMON (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:SOLOMON
Last Name:BERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 CORAL HILLS DR STE 220
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4146
Mailing Address - Country:US
Mailing Address - Phone:954-345-0404
Mailing Address - Fax:954-346-8315
Practice Address - Street 1:2901 CORAL HILLS DR STE 220
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4146
Practice Address - Country:US
Practice Address - Phone:954-345-0404
Practice Address - Fax:954-346-8315
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155841207R00000X
FLME156927207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPQ298OtherMEDICARE
NY01018097Medicaid
FL115227400Medicaid