| Bsd Medical Practice LLC | |
|
6727 Giralda Cir Boca Raton FL 33433-7733 | |
| (718) 534-0689 | |
| Not Available |
| Full Name | Bsd Medical Practice LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6727 Giralda Cir, Boca Raton, Florida |
| Authorized Official Name and Position | Daniel Berman (OWNER) |
| Authorized Official Contact | 9148063678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bsd Medical Practice LLC 6727 Giralda Cir Boca Raton FL 33433-7733 | Bsd Medical Practice LLC 6727 Giralda Cir Boca Raton FL 33433-7733 Ph: (718) 534-0689 |
| NPI Number | 1285418129 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Medicare PECOS PAC ID | 8921454414 |
|---|---|
| Medicare Enrollment ID | O20240506001639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285418129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
| Provider Name | Jaimin Dudhia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609261544 PECOS PAC ID: 7618223470 Enrollment ID: I20180709002786 |
| Provider Name | Daniel Berman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336128206 PECOS PAC ID: 6901839885 Enrollment ID: I20200127000724 |
| Provider Name | Chana Chapler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013501105 PECOS PAC ID: 6406262575 Enrollment ID: I20210316000352 |
| Provider Name | Rebecca Rider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073988291 PECOS PAC ID: 7315243136 Enrollment ID: I20250227000487 |
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