Individual
BERNANRDO BIRNBAUM KISILEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
3212 NE 211TH TER, AVENTURA, FL 33180-3688
(305) 776-8837
Mailing address
3212 NE 211TH TER, AVENTURA, FL 33180-3688
(305) 776-8837
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-507
FL
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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