Provider Demographics
NPI:1144234881
Name:BEN-DAVID, KFIR (MD)
Entity Type:Individual
Prefix:
First Name:KFIR
Middle Name:
Last Name:BEN-DAVID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4306 ALTON RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2840
Mailing Address - Country:US
Mailing Address - Phone:305-535-3349
Mailing Address - Fax:305-535-3438
Practice Address - Street 1:4306 ALTON RD FL 2
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2840
Practice Address - Country:US
Practice Address - Phone:305-674-2397
Practice Address - Fax:305-674-2863
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200600755208600000X
FLME98890208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278808000Medicaid
NC142UGOtherBCBS
NC2055176Medicare PIN
AF388ZMedicare PIN
NC142UGOtherBCBS