Provider Demographics
NPI:1417911447
Name:MOTZKIN-KAVA, BETH (MD)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:
Last Name:MOTZKIN-KAVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 COLONIAL DR
Mailing Address - Street 2:#205
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063
Mailing Address - Country:US
Mailing Address - Phone:954-968-8555
Mailing Address - Fax:954-968-7806
Practice Address - Street 1:5800 COLONIAL DR
Practice Address - Street 2:#205
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063
Practice Address - Country:US
Practice Address - Phone:954-968-8555
Practice Address - Fax:954-968-7806
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME613582080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F53769Medicare UPIN
18657Medicare ID - Type Unspecified