Provider Demographics
NPI:1225042526
Name:BEKHIT, EVON (MD)
Entity type:Individual
Prefix:DR
First Name:EVON
Middle Name:
Last Name:BEKHIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9960 CENTRAL PARK BLVD N
Mailing Address - Street 2:SUITE 450
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1759
Mailing Address - Country:US
Mailing Address - Phone:561-353-1225
Mailing Address - Fax:561-353-1226
Practice Address - Street 1:4201 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-4844
Practice Address - Country:US
Practice Address - Phone:954-485-1311
Practice Address - Fax:954-485-1346
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89766208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU5668ZMedicare ID - Type Unspecified
FLI38211Medicare UPIN