Healthcare Provider Details

I. General information

NPI: 1881614196
Provider Name (Legal Business Name): BERNARD FRANCOIS MIOT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 10/06/2021
Certification Date: 10/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NW 82ND AVE STE 201
PLANTATION FL
33324-1899
US

IV. Provider business mailing address

100 NW 82ND AVE STE 201
PLANTATION FL
33324-1899
US

V. Phone/Fax

Practice location:
  • Phone: 954-577-3060
  • Fax: 954-577-7972
Mailing address:
  • Phone: 954-577-3060
  • Fax: 954-577-7972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number51620
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number186250
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME64950
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: