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Contact Information

STACY J BERCKES, MD
111 WATERMAN AVE
MOUNT DORA, FL32757-9541
 Phone: 352-735-3313
 Fax: 352-735-3711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for STACY J BERCKES · (Male)

NPI Number 1750361523
Status Active
Credentials MD
Entity Individual
Enumeration date 01/18/2006
Last updated 12/30/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0043723
  • FL Medicaid 069131300
  • FL Other 050031800 RAILROAD MEDICARE
Hospital affiliation(s)
  • FLORIDA HOSPITAL WATERMAN - (Acute Care)
    1000 WATERMAN WAY
    TAVARES, FL 32778
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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