Provider Demographics
NPI:1386795375
Name:BERKES, STEPHEN L (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:L
Last Name:BERKES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3231 GULF GATE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-2406
Mailing Address - Country:US
Mailing Address - Phone:941-921-0777
Mailing Address - Fax:941-921-0778
Practice Address - Street 1:3231 GULF GATE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-2406
Practice Address - Country:US
Practice Address - Phone:941-921-0777
Practice Address - Fax:941-921-0778
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2017-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME253342083P0901X
FLME 25334207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL50724ZOtherPTAN