Organization
DAVID L. BERNDT DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY MARTINEZ (MEDICAL ASSISTANT)
(954) 791-7101
Entity
Organization
Contact information
Practice address
5930 SW 64TH AVE, DAVIE, FL 33314-7116
(954) 791-7101
(954) 791-2521
Mailing address
5930 SW 64 AVE, DAVIE, FL 33314
(954) 791-7101
(954) 791-2521
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OS3372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81878
BCBS
FL
Enumeration date
05/18/2011
Last updated
05/18/2011
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