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Organization
MITCHELL BERNKNOPF DPM PA
Active
Organization
MITCHELL BERNKNOPF DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL BERNKNOPF DPM (PRESIDENT)
(954) 427-3668
Entity
Organization
Contact information
Practice address
1367 S MILITARY TR, DEERFIELD BEACH, FL 33442
(954) 427-3668
(954) 427-2319
Mailing address
9805 MAJORCA PL, BOCA RATON, FL 33434
(954) 427-3668
(954) 427-2319
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P02707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390471700
—
FL
01
—
65588
BCBS
FL
Enumeration date
03/14/2006
Last updated
04/01/2010
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