MEDICARE: DAVID KERMAN M.D.

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	207RG0100X	Gastroenterology Physician	ME 101537	FL
2	390200000X	Student in an Organized Health Care Education/Training Program	TRN 9156	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME 101537	OTHER	FL	FLORIDA LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851593040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID KERMAN M.D.

Provider Business Mailing Address
First Line	:	1500 NW 12TH AVE
Second Line	:	JMT EAST 1007
City	:	MIAMI
State	:	FL
Zip	:	33136-1028
Country	:	US
Telephone Number	:	305-243-8644
Fax Number	:	305-243-3762

Provider Business Practice Location Address
First Line	:	1400 NW 10TH AVE
Second Line	:	SUITE 1114
City	:	MIAMI
State	:	FL
Zip	:	33136-1003
Country	:	US
Telephone Number	:	305-243-8644
Fax Number	:	305-243-3762

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

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	02/26/2013

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Directions to “ DAVID KERMAN M.D.” Practice Location

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