MEDICARE: DR. ALICIA KAY BERNSTEIN

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	183500000X	Pharmacist	PS50965	FL

General Provider Information

NPI Number	:	1356774699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALICIA KAY BERNSTEIN

Provider Business Mailing Address
First Line	:	3333 NE 34TH ST
Second Line	:	UNIT 1317
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-6948
Country	:	US
Telephone Number	:	954-993-6376
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 NE 34TH ST
Second Line	:	UNIT 1317
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-6948
Country	:	US
Telephone Number	:	954-993-6376
Fax Number	:

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

Provider Enumeration Date	:	08/09/2013
Last Update Date	:	08/09/2013

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