Individual
BERLINE LOUIS-FERTIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3911 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6795
(954) 639-7345
Mailing address
3911 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6795
(954) 639-7345
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
12/12/2019
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