MEDICARE: BEST VALUE HEALTHCARE LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1063179471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST VALUE HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 25487
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34277-2487
Country	:	US
Telephone Number	:	941-259-0926
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 W COMMERCIAL BLVD STE 20
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3334
Country	:	US
Telephone Number	:	954-368-4560
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAJANKUMAR NAIK
Credential	:
Telephone Number	:	561-471-9484

Provider Enumeration Date	:	11/19/2021
Last Update Date	:	11/19/2021

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