Provider Demographics
NPI:1245254242
Name:BERMAN GOODSITE, FRANCES M (PSYD)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:BERMAN GOODSITE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 ALTON RD
Mailing Address - Street 2:SUITE 810
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2948
Mailing Address - Country:US
Mailing Address - Phone:305-673-0797
Mailing Address - Fax:954-389-2820
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:SUITE 810
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2948
Practice Address - Country:US
Practice Address - Phone:305-673-0797
Practice Address - Fax:954-389-2820
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY52472084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59721Medicare ID - Type UnspecifiedMEDICARE PROVIDER #