MEDICARE: BEHNAM MYERS DO

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	207X00000X	Orthopaedic Surgery Physician	OS8934	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	53147	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1558302133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEHNAM MYERS DO

Provider Business Mailing Address
First Line	:	3850 SHERIDAN ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3634
Country	:	US
Telephone Number	:	954-983-3888
Fax Number	:	954-983-3999

Provider Business Practice Location Address
First Line	:	3850 SHERIDAN ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3634
Country	:	US
Telephone Number	:	954-983-3888
Fax Number	:	954-983-3999

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	02/26/2013

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Directions to “ BEHNAM MYERS DO” Practice Location

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