MEDICARE: DR. BELA L KOVACS 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	207R00000X	Internal Medicine Physician	037513	FL

General Provider Information

NPI Number	:	1154394138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BELA L KOVACS MD

Provider Business Mailing Address
First Line	:	2951 NW 49TH AVE
Second Line	:	#307
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-1600
Country	:	US
Telephone Number	:	954-484-1111
Fax Number	:	954-484-8485

Provider Business Practice Location Address
First Line	:	2951 NW 49TH AVE
Second Line	:	#307
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-1600
Country	:	US
Telephone Number	:	954-484-1111
Fax Number	:	954-484-8485

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	07/08/2007

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