Healthcare Provider Details

I. General information

NPI: 1427264258
Provider Name (Legal Business Name): WILLIAM BERKE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NE MIAMI GARDENS DR SUITE 202
NORTH MIAMI BEACH FL
33179-4845
US

IV. Provider business mailing address

1400 NE MIAMI GARDENS DR SUITE 202
NORTH MIAMI BEACH FL
33179-4845
US

V. Phone/Fax

Practice location:
  • Phone: 305-940-7546
  • Fax: 305-940-4611
Mailing address:
  • Phone: 305-940-7546
  • Fax: 305-940-4611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberME0026457
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: