MEDICARE: TIFFANY LEE BERKSHIRE DO

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	207R00000X	Internal Medicine Physician	OS7645	FL
2	208000000X	Pediatrics Physician	OS7645	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447299300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY LEE BERKSHIRE DO

Provider Business Mailing Address
First Line	:	14771 BISCAYNE BLVD
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-1217
Country	:	US
Telephone Number	:	305-945-7745
Fax Number	:	305-945-7740

Provider Business Practice Location Address
First Line	:	2344 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-3249
Country	:	US
Telephone Number	:	305-945-7745
Fax Number	:	305-945-7740

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	02/28/2013

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Directions to “ TIFFANY LEE BERKSHIRE DO” Practice Location

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