10D1080314 CLIA NUMBER - JONATHAN R BERMAN MD

Laboratory Demographics

CLIA Number: 10D1080314

Facility Name: JONATHAN R BERMAN MD

Facility Address:
670 GLADES RD #240
BOCA RATON, FL
ZIP 33431
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Facility Phone Number: (561) 417-0171

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1043316490

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D1080314
LAB Type	PHYSICIAN OFFICE
Facility Name	JONATHAN R BERMAN MD
Street	670 GLADES RD #240
City	BOCA RATON
State	FL
ZIP	33431
Phone	(561) 417-0171

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This page was last updated on: 5/11/2023