Provider Demographics
NPI:1477547883
Name:BERMAN, WILLIAM S (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:BERMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10301 HAGEN RANCH RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3724
Mailing Address - Country:US
Mailing Address - Phone:561-364-1079
Mailing Address - Fax:561-752-3461
Practice Address - Street 1:10301 HAGEN RANCH RD
Practice Address - Street 2:SUITE 3
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3724
Practice Address - Country:US
Practice Address - Phone:561-364-1079
Practice Address - Fax:561-752-3461
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2013-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME44401208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42855COtherPTAN
FL42855COtherPTAN