Organization
BARRY C PEVNER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY C PEVNER MD (PRESIDENT)
(954) 347-1360
Entity
Organization
Contact information
Practice address
601 N FLAMINGO RD, SUITE 303, PEMBROKE PINES, FL 33028-1010
(954) 557-5407
(954) 436-8024
Mailing address
601 N FLAMINGO RD, SUITE 303, PEMBROKE PINES, FL 33028-1010
(954) 347-1360
(954) 436-8024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME50444
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063488300
—
FL
Enumeration date
08/30/2006
Last updated
03/23/2021
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