Individual
MITCHELL BERNKNOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1367 S MILITARY TRL, DEERFIELD BEACH, FL 33442-7634
(954) 427-3668
Mailing address
9805 MAJORCA PL, BOCA RATON, FL 33434-3713
(561) 866-8596
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390471700
—
FL
01
—
65588
BCBS
FL
Enumeration date
04/17/2006
Last updated
09/23/2011
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