Provider Demographics
NPI:1881614196
Name:MIOT, BERNARD FRANCOIS (MD)
Entity type:Individual
Prefix:
First Name:BERNARD
Middle Name:FRANCOIS
Last Name:MIOT
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 1:100 NW 82ND AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1899
Mailing Address - Country:US
Mailing Address - Phone:954-577-3060
Mailing Address - Fax:954-577-7972
Practice Address - Street 1:100 NW 82ND AVE STE 201
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1899
Practice Address - Country:US
Practice Address - Phone:954-577-3060
Practice Address - Fax:954-577-7972
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA51620207X00000X
NY186250207X00000X
FLME64950207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL376409500Medicaid
E24212Medicare UPIN