Provider Demographics
NPI:1124323787
Name:MOXEY, BEVERTON R (MD)
Entity type:Individual
Prefix:DR
First Name:BEVERTON
Middle Name:R
Last Name:MOXEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2950 CLEVELAND CLINIC BLVD
Mailing Address - Street 2:CLEVELAND CLINIC FLORIDA
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3609
Mailing Address - Country:US
Mailing Address - Phone:954-659-5646
Mailing Address - Fax:954-659-5647
Practice Address - Street 1:2950 CLEVELAND CLINIC BLVD
Practice Address - Street 2:CLEVELAND CLINIC FLORIDA
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3609
Practice Address - Country:US
Practice Address - Phone:954-659-5646
Practice Address - Fax:954-659-5647
Is Sole Proprietor?:No
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLTRN15590207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology