MEDICARE: DR. HEM M BHATT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204C00000X	Sports Medicine (Neuromusculoskeletal Medicine) Physician	ME104746	FL
2	207T00000X	Neurological Surgery Physician	ME104746	FL
3	208VP0014X	Interventional Pain Medicine Physician	ME104746	FL

General Provider Information

NPI Number	:	1093049579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEM M BHATT MD

Provider Business Mailing Address
First Line	:	2298 SW GOLDEN BEAR WAY
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-8803
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2298 SW GOLDEN BEAR WAY
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-8803
Country	:	US
Telephone Number	:	772-223-8286
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2009
Last Update Date	:	09/30/2009

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