Healthcare Provider Details

I. General information

NPI: 1417911447
Provider Name (Legal Business Name): BETH MOTZKIN-KAVA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 COLONIAL DR #205
MARGATE FL
33063
US

IV. Provider business mailing address

5800 COLONIAL DR #205
MARGATE FL
33063
US

V. Phone/Fax

Practice location:
  • Phone: 954-968-8555
  • Fax: 954-968-7806
Mailing address:
  • Phone: 954-968-8555
  • Fax: 954-968-7806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberME61358
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: