Healthcare Provider Details
I. General information
NPI: 1336128206
Provider Name (Legal Business Name): DANIEL SOLOMON BERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/10/2006
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5401 S CONGRESS AVE STE 201
ATLANTIS FL
33462-6637
US
IV. Provider business mailing address
6727 GIRALDA CIR
BOCA RATON FL
33433-7733
US
V. Phone/Fax
- Phone: 561-995-6971
- Fax: 561-569-8309
- Phone: 914-806-3678
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | ME156927 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 155841 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: