Healthcare Provider Details

I. General information

NPI: 1285256313
Provider Name (Legal Business Name): LINDSEY BERNHARDT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2020
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

836 PONCE DE LEON BLVD STE 200
CORAL GABLES FL
33134-3068
US

IV. Provider business mailing address

836 PONCE DE LEON BLVD STE 200
CORAL GABLES FL
33134-3068
US

V. Phone/Fax

Practice location:
  • Phone: 305-441-0910
  • Fax:
Mailing address:
  • Phone: 305-441-0910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME181123
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: