# IVAN BEREND MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144335472
- **Authorized official:** IVAN A BEREND MD (PRESIDENT)
- **Authorized official phone:** (305) 538-8660

## Contact information

- **Practice address:** 21097 NE 27TH COURT, SUITE 320, AVENTURA, FL 33180-3329
- **Practice address phone:** (305) 538-8660
- **Practice address fax:** (305) 538-8667
- **Mailing address:** 975 ARTHUR GODFREY RD, SUITE 408, MIAMI BEACH, FL 33140-3329
- **Mailing address phone:** (305) 538-8660
- **Mailing address fax:** (305) 538-8667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME79620 | FL | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 12/28/2007
