Provider Demographics
NPI:1013460294
Name:FLORIDA HEALTH CARE MEDICAL GROUP
Entity Type:Organization
Organization Name:FLORIDA HEALTH CARE MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:BERKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-772-8020
Mailing Address - Street 1:5401 S CONGRESS AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6635
Mailing Address - Country:US
Mailing Address - Phone:561-641-7848
Mailing Address - Fax:561-641-2442
Practice Address - Street 1:5401 S CONGRESS AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6635
Practice Address - Country:US
Practice Address - Phone:561-641-7848
Practice Address - Fax:561-641-2442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty