Provider Demographics
NPI:1235626516
Name:BEKHEIT CARE LLC
Entity Type:Organization
Organization Name:BEKHEIT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP/ DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAAFAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BEKHEIT
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:305-877-2429
Mailing Address - Street 1:1035 S FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6025
Mailing Address - Country:US
Mailing Address - Phone:954-998-7740
Mailing Address - Fax:844-372-6436
Practice Address - Street 1:1035 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020
Practice Address - Country:US
Practice Address - Phone:954-998-7740
Practice Address - Fax:844-372-6436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-22
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100126500Medicaid