MEDICARE: BOYCE N BERKEL M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	25333	FL

General Provider Information

NPI Number	:	1346299179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOYCE N BERKEL M.D

Provider Business Mailing Address
First Line	:	2330 KINGS POINT DR
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33774-1009
Country	:	US
Telephone Number	:	727-593-5368
Fax Number	:	727-595-3181

Provider Business Practice Location Address
First Line	:	5504 GATEWAY BLVD
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-1970
Country	:	US
Telephone Number	:	727-593-5368
Fax Number	:	727-595-3181

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	05/13/2010

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