Individual
DR. MICHAEL SCOTT BERLOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 HIGH ST, LEWISTON, ME 04240-7616
(800) 760-6622
Mailing address
4911 SAINT CROIX DR, TAMPA, FL 33629-4830
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME106551
FL
207RI0011X
Interventional Cardiology Physician
Primary
MD24894
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002268700
—
FL
01
—
149KE
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/22/2006
Last updated
04/29/2024
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