# BERMAX II LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clevens Center for Facial Cosmetic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326374901
- **Authorized official:** DR. ROSS A CLEVENS MD (PRESIDENT)
- **Authorized official phone:** (321) 727-3223

## Contact information

- **Practice address:** 707 W EAU GALLIE BLVD, MELBOURNE, FL 32935-5958
- **Practice address phone:** (321) 727-3223
- **Practice address fax:** (321) 727-9448
- **Mailing address:** 707 W EAU GALLIE BLVD, MELBOURNE, FL 32935-5958
- **Mailing address phone:** (321) 727-3223
- **Mailing address fax:** (321) 727-9448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | ME70285 | FL | — |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | ME70285 | FL | Yes |

## Other

- **Enumeration date:** 11/02/2009
- **Last updated:** 04/23/2013