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Individual

EVELYN BERNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9980 CENTRAL PARK BLVD N, SUITE 114, BOCA RATON, FL 33428-1762
(561) 420-8770
(561) 420-8771
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L0030
TX
208600000X
Surgery Physician
Primary
ME116831
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011700400
FL
01
0455338
CIGNA
FL
01
1174004
WELLCARE
FL
01
13477
DIMENSIONS HEALTH
FL
01
14R9Q
BCBS OF FL
FL
01
367487
AVMED
FL
01
7172235
AETNA
FL
01
F00201543301
UNITED HEALTHCARE
FL
01
P01221615
RAILROAD MCR
FL
01
P1012227
FREEDOM HEALTH
FL
01
P951434
OPTIMUM
FL
Enumeration date
12/28/2005
Last updated
04/25/2016
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