Provider Demographics
NPI:1952589418
Name:BETH MOTZKIN-KAVA MD , PA
Entity type:Organization
Organization Name:BETH MOTZKIN-KAVA MD , PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-968-8555
Mailing Address - Street 1:5800 COLONIAL DR
Mailing Address - Street 2:#205
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5682
Mailing Address - Country:US
Mailing Address - Phone:954-968-8555
Mailing Address - Fax:964-968-7806
Practice Address - Street 1:5800 COLONIAL DR
Practice Address - Street 2:#205
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5682
Practice Address - Country:US
Practice Address - Phone:954-968-8555
Practice Address - Fax:964-968-7806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME61358174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty