MEDICARE: DR. WILLIAM S BERMAN MD

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	208100000X	Physical Medicine & Rehabilitation Physician	ME44401	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	42855C	OTHER	FL	PTAN

General Provider Information

NPI Number	:	1477547883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM S BERMAN MD

Provider Business Mailing Address
First Line	:	10301 HAGEN RANCH RD
Second Line	:	SUITE 3
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3724
Country	:	US
Telephone Number	:	561-364-1079
Fax Number	:	561-752-3461

Provider Business Practice Location Address
First Line	:	10301 HAGEN RANCH RD
Second Line	:	SUITE 3
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3724
Country	:	US
Telephone Number	:	561-364-1079
Fax Number	:	561-752-3461

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	01/28/2013

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Directions to “ DR. WILLIAM S BERMAN MD” Practice Location

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