Berrocal, Audina M

Berrocal, Audina M is an sole proprietor health care provider with primary practice located at 900 Nw 17Th Ave Box 016960 M851, Miami FL 33101-6960. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Berrocal, Audina M can be contacted via phone (305) 326-6031.

Contact Information

Primary practice address
900 Nw 17Th Ave Box 016960 M851 Miami FL 33101-6960
Fax: (305) 243-8470
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME80740 Florida

Profile Details

NPI number 1437192135
LBN Legal business name Berrocal, Audina M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated May 1st, 2012 - about 13 years ago

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 1437192135 NPPES
Florida MEDICAID 2594277-00

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