MEDICARE: BERLIANT ENTERPRISES, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)	684820	FL

General Provider Information

NPI Number	:	1083791685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERLIANT ENTERPRISES, LLC.

Provider Business Mailing Address
First Line	:	1441 BRANDYWINE RD APT 700J
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-2103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2541 METROCENTRE BLVD STE 4
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3154
Country	:	US
Telephone Number	:	561-543-5146
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MARTIN T BERLIANT
Credential	:
Telephone Number	:	561-543-5146

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/22/2020

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Directions to “BERLIANT ENTERPRISES, LLC. ” Practice Location

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