Individual
JOSE BERTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9750 NW 33RD ST STE 111, CORAL SPRINGS, FL 33065-4000
(954) 368-9656
(954) 368-9356
Mailing address
9750 NW 33RD ST STE 111, CORAL SPRINGS, FL 33065-4000
(954) 368-9656
(954) 368-9356
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
87574
FL
207VX0000X
Obstetrics Physician
ME87574
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267205700
—
FL
01
—
49081
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/27/2005
Last updated
11/20/2020
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