Healthcare Provider Details

I. General information

NPI: 1790481976
Provider Name (Legal Business Name): SARA BERMUDEZ DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

746 NE 90TH ST UNIT 602
MIAMI FL
33138-3238
US

IV. Provider business mailing address

746 NE 90TH ST UNIT 602
MIAMI FL
33138-3238
US

V. Phone/Fax

Practice location:
  • Phone: 305-546-0234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number14385
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: