Don H Bercuson, MD

Individual provider Active NPI Infectious Disease Physician · Dunedin, FL

NPI 1669409447 · NPPES record last updated Jun 17, 2016

Key facts

NPI
1669409447
Entity type
Individual (NPI type 1)
Primary specialty
Infectious Disease Physician 207RI0200X
License
ME28916 (FL)
Practice address
646 Virginia St 421
Dunedin, FL 34698
Phone
(727) 734-6932
Fax
(727) 734-4516
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME28916 FL Yes

Addresses

Primary practice location

646 Virginia St 421
Dunedin, FL 34698

Mailing address

PO Box 2216
Dunedin, FL 34697-2216
Phone (727) 734-6932

Other identifiers

IdentifierTypeStateIssuer
039546300MedicaidFL

Other providers in Dunedin, FL

All providers in Dunedin, FL · Infectious Disease Physician in Florida

Sources for this page

Verify at the official NPI Registry.