Healthcare Provider Details

I. General information

NPI: 1235626516
Provider Name (Legal Business Name): BEKHEIT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2018
Last Update Date: 10/07/2021
Certification Date: 10/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 S FEDERAL HWY
HOLLYWOOD FL
33020
US

IV. Provider business mailing address

1035 S FEDERAL HWY
HOLLYWOOD FL
33020-6025
US

V. Phone/Fax

Practice location:
  • Phone: 954-998-7740
  • Fax: 844-372-6436
Mailing address:
  • Phone: 954-998-7740
  • Fax: 844-372-6436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. RAAFAT BEKHEIT
Title or Position: ARNP/ DIRECTOR
Credential: NP
Phone: 305-877-2429