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Individual

DR. GARY BERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4815 NW 183RD ST, MIAMI GARDENS, FL 33055-2955
(305) 621-3830
(305) 621-3831
Mailing address
4815 NW 183RD ST, MIAMI GARDENS, FL 33055-2955
(305) 621-3830
(305) 621-3831

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2870
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
620567402
FL
01
GO144Y
MEDICARE PTAN
FL
Enumeration date
08/11/2006
Last updated
02/24/2026
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