Provider Demographics
NPI:1982663811
Name:BOYKIN, ARLENE RISK (MD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:RISK
Last Name:BOYKIN
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 1:3000 CORAL HILLS DRIVE, BROWARD HEALTH CORAL SPRING
Mailing Address - Street 2:PEDIATRIX MEDICAL GROUP /NICU
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067
Mailing Address - Country:US
Mailing Address - Phone:703-282-3595
Mailing Address - Fax:954-858-1762
Practice Address - Street 1:3000 CORAL HILLS DRIVE
Practice Address - Street 2:BROWARD HEALTH CORAL SPRINGS NICU
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067
Practice Address - Country:US
Practice Address - Phone:703-282-3595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235030208000000X
FLME1003892080N0001X
FLME1003902080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280123000Medicaid
FL280123000Medicaid