Individual
MR. MAXWELL BERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 WALNUT TER, BOCA RATON, FL 33486-6909
(332) 373-4307
Mailing address
1301 WALNUT TER, BOCA RATON, FL 33486-6909
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LB-1563827
NY
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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