Provider Demographics
NPI:1710060298
Name:BERKMAN, ANDREW ROSS (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ROSS
Last Name:BERKMAN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:107 JFK DR
Mailing Address - Street 2:STE B
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1153
Mailing Address - Country:US
Mailing Address - Phone:561-295-6962
Mailing Address - Fax:561-249-2512
Practice Address - Street 1:107 JOHN F KENNEDY DR STE B
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-1153
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLTRN10011207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRES000Medicare UPIN