MEDICARE: SARA J BERNSTEIN MD LC

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	207V00000X	Obstetrics & Gynecology Physician	ME 79627	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20-1124411	OTHER	FL	DIMENSION HEALTH
2	20-1124411	OTHER	FL	GREAT WEST
3	20-1124411	OTHER	FL	PRIVATE HEALTHCARE SYSTEM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	298473	OTHER	FL	AVMED
6	7531723	OTHER	FL	CIGNA
7	51338	OTHER	FL	BLUE CROSS / BLUE SHIELD
8	45664	OTHER	FL	NEIGHBORHOOD HEALTH
9	20-1124411	OTHER	FL	UNITED
10	7872461	OTHER	FL	AETNA
11	20-1124411	OTHER	FL	BEECH STREET
12	20-1124411	OTHER	FL	ONE-SOURCE

General Provider Information

NPI Number	:	1851366934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARA J BERNSTEIN MD LC

Provider Business Mailing Address
First Line	:	11924 W FOREST HILL BLVD
Second Line	:	SUITE 22-313
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6256
Country	:	US
Telephone Number	:	561-784-1933
Fax Number	:	561-784-5109

Provider Business Practice Location Address
First Line	:	10131 W FOREST HILL BLVD
Second Line	:	SUITE 130
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6156
Country	:	US
Telephone Number	:	561-784-1933
Fax Number	:	561-784-5109

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. SARA J BERNSTEIN
Credential	:	M.D.
Telephone Number	:	561-784-1933

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	07/15/2009

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