Organization
ALEX BERENTHAL O D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX BERENTHAL OD (SOLE OWNER OPTOMETRIST)
(305) 661-2732
Entity
Organization
Contact information
Practice address
5730 BIRD RD, MIAMI, FL 33155-5302
(305) 661-2732
Mailing address
5730 BIRD RD, MIAMI, FL 33155-5302
(305) 661-2732
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621070800
—
FL
Enumeration date
12/29/2006
Last updated
01/02/2008
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