MEDICARE: DR. BERNARD LERER MBCHB

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	2084P0800X	Psychiatry Physician	12375	ZZ

General Provider Information

NPI Number	:	1598900722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BERNARD LERER MBCHB

Provider Business Mailing Address
First Line	:	4779 COLLINS AVE
Second Line	:	APARTMENT 2707
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3251
Country	:	US
Telephone Number	:	305-978-5862
Fax Number	:

Provider Business Practice Location Address
First Line	:	4779 COLLINS AVE
Second Line	:	APARTMENT 2707
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3251
Country	:	US
Telephone Number	:	305-978-5862
Fax Number	:

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

Provider Enumeration Date	:	12/02/2008
Last Update Date	:	12/02/2008

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