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NPI Code Detail

MEDICARE: BERLINE ESTINOBLE MD

MEDICARE: BERLINE ESTINOBLE 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
1207Q00000XFamily Medicine Physician172032FL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1528717204
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERLINE ESTINOBLE MD
Provider Business Mailing Address
First Line : 5799 LAKE WORTH RD
Second Line :
City : GREENACRES
State : FL
Zip : 33463-3207
Country : US
Telephone Number : 561-264-4813
Fax Number :
Provider Business Practice Location Address
First Line : 5799 LAKE WORTH RD
Second Line :
City : GREENACRES
State : FL
Zip : 33463-3207
Country : US
Telephone Number : 561-264-4813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2022
Last Update Date : 03/14/2026

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Directions to “ BERLINE ESTINOBLE MD” Practice Location

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