MEDICARE: DR. BRUCE M. BERKOWITZ MD

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	174400000X	Specialist	ME37474	FL
2	207X00000X	Orthopaedic Surgery Physician	ME37474	FL

General Provider Information

NPI Number	:	1144329780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE M. BERKOWITZ MD

Provider Business Mailing Address
First Line	:	600 SOUTH PINE ISLAND ROAD
Second Line	:	STE 300
City	:	PLANTATION
State	:	FL
Zip	:	33324-3178
Country	:	US
Telephone Number	:	954-473-6344
Fax Number	:	954-476-9077

Provider Business Practice Location Address
First Line	:	600 SOUTH PINE ISLAND ROAD
Second Line	:	STE 300
City	:	PLANTATION
State	:	FL
Zip	:	33324-3178
Country	:	US
Telephone Number	:	954-473-6344
Fax Number	:	954-476-9077

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	10/09/2014

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