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Individual

MRS. AUDRA KIMBERLY BERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
12385 PEMBROKE RD, SUITE 102, PEMBROKE PINES, FL 33025-1723
(954) 435-8820
(954) 450-8185
Mailing address
PO BOX 406153, ATLANTA, GA 30384-1876
(561) 478-8770
(561) 688-8877

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY 874
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4000997
PEDIATRIC ASSOCIATES
FL
01
4899917
GHI
FL
05
600179300
FL
Enumeration date
06/10/2006
Last updated
10/09/2008
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