Berk, Lawrence Bruce

Berk, Lawrence Bruce is an individual health care provider with primary practice located at 1400 N Us Highway 441 Ste 540 , Lady Lake FL 32159-8987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Berk, Lawrence Bruce can be contacted via phone (352) 753-9777.

Contact Information

Primary practice address
1400 N Us Highway 441 Ste 540 Lady Lake FL 32159-8987
Phone: (352) 753-9777
Fax: (866) 446-1888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME64597 Florida

Profile Details

NPI number 1447251715
LBN Legal business name Berk, Lawrence Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447251715 NPPES
Florida Other 23146 BLUE CROSS BLUE SHIELD
Florida MEDICAID 275622600 BLUE CROSS BLUE SHIELD

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