# ALEX BERENTHAL O D P A

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

## Provider details

- **NPI number:** 1992861165
- **Authorized official:** DR. ALEX BERENTHAL OD (SOLE OWNER OPTOMETRIST)
- **Authorized official phone:** (305) 661-2732

## Contact information

- **Practice address:** 5730 BIRD RD, MIAMI, FL 33155-5302
- **Practice address phone:** (305) 661-2732
- **Mailing address:** 5730 BIRD RD, MIAMI, FL 33155-5302
- **Mailing address phone:** (305) 661-2732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1815 | FL | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 01/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 621070800 | — | FL |