Stacy John Berckes in Mount Dora - Interventional Pain Medicine
Stacy John Berckes - NPI 1750361523
Stacy John Berckes is a Interventional Pain Medicine in Mount Dora, Florida. Stacy John Berckes practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Stacy John Berckes is 1750361523. The last update date is 2013-12-30.
Stacy John Berckes's current location address is 111 Waterman Ave, Mount Dora, Florida. You can contact this provider via phone number 3527353313 and fax number 3527353711. The mailing address for Stacy John Berckes is 111 Waterman Ave, Mount Dora, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacy John Berckes |
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Address | 111 Waterman Ave, Mount Dora, Florida |
Phone Number | 3527353313 |
Fax Number | 3527353711 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1750361523 |
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Provider Enumeration Date | 2006-01-18 |
Last Updated Date | 2013-12-30 |
Provider Mailing Address Detail
Address | 111 Waterman Ave |
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City | Mount Dora |
State | Florida (FL) |
Post Code | 327579541 |
Phone Number | 3527353313 |
Fax Number | 3527353711 |
Provider's Primary Taxonomy Detail
Speciality | Interventional Pain Medicine |
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Taxonomy | 208Vp0014X |
Licence No | ME0043723 |
Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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69131300 | FL | -- | |
50031800 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stacy John Berckes by the Centers for Medicare & Medicaid Services?
The Stacy John Berckes has been assigned the NPI (National Provider Identifier) 1750361523 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Stacy John Berckes?
The Stacy John Berckes is physically situated at 111 Waterman Ave, in the city of Mount Dora, state of FL, with the postal code 327579541.
What is Stacy John Berckes's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacy John Berckes is Interventional Pain Medicine, and the taxonomy code that categorizes this field of expertise is 208Vp0014X.
When was the Stacy John Berckes's 1750361523 issued?
The Stacy John Berckes's 1750361523 was issued on 2006-01-18.
As of what date was the information pertaining to Stacy John Berckes, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stacy John Berckes, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-12-30.