Healthcare Provider Details

I. General information

NPI: 1720045933
Provider Name (Legal Business Name): DR. EVA A BERKES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 12/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2068 HAWTHORNE ST SUITE 202
SARASOTA FL
34239-2307
US

IV. Provider business mailing address

2088 HAWTHORNE ST
SARASOTA FL
34239-2307
US

V. Phone/Fax

Practice location:
  • Phone: 941-953-5050
  • Fax: 941-343-8021
Mailing address:
  • Phone: 941-953-5050
  • Fax: 941-343-8021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberME77461
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: