MEDICARE: BERLIANT ENTERPRISES

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1376767921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERLIANT ENTERPRISES

Provider Business Mailing Address
First Line	:	120 WOOD AVE S
Second Line	:	SUITE 511
City	:	ISELIN
State	:	NJ
Zip	:	08830-2736
Country	:	US
Telephone Number	:	732-494-3030
Fax Number	:	732-494-3310

Provider Business Practice Location Address
First Line	:	2541 METROCENTRE BLVD
Second Line	:	SUITE 4
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3154
Country	:	US
Telephone Number	:	561-242-9646
Fax Number	:	561-242-9644

Authorized Official
Title or Position	:	CEO
Name	:	MS. PRITI PANDYA-PATEL
Credential	:
Telephone Number	:	732-494-3030

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	07/20/2009

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Directions to “BERLIANT ENTERPRISES ” Practice Location

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