Provider Demographics
NPI:1285077834
Name:BERKOWER PAIN & SPINE REHABILITATION, INC
Entity type:Organization
Organization Name:BERKOWER PAIN & SPINE REHABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BERKOWER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-785-1288
Mailing Address - Street 1:1 SW 129TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1761
Mailing Address - Country:US
Mailing Address - Phone:954-430-9972
Mailing Address - Fax:954-430-9902
Practice Address - Street 1:1 SW 129TH AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1761
Practice Address - Country:US
Practice Address - Phone:954-430-9972
Practice Address - Fax:954-430-9902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-14
Last Update Date:2013-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS89772081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty