Provider Demographics
NPI:1649354986
Name:BERMAN, STEVEN MARK (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARK
Last Name:BERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21120 JIB CT
Mailing Address - Street 2:K12
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3553
Mailing Address - Country:US
Mailing Address - Phone:305-981-2224
Mailing Address - Fax:305-981-0175
Practice Address - Street 1:13740 NE 11TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-3800
Practice Address - Country:US
Practice Address - Phone:305-981-2224
Practice Address - Fax:305-981-0175
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7811111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor