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Contact Information

KEVIN P BETHEL, M.D. C.M. F.A.A.R.M.
7949 FAIRWAY BLVD
MIRAMAR, FL33023-6417
 Phone: 305-454-1768
 Fax: 242-374-4822
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KEVIN P BETHEL · (Male)

NPI # 1619119401
Status Active
Credentials M.D. C.M. F.A.A.R.M.
Entity Individual
Enumeration date 03/25/2009
Last updated 03/25/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # BMC1019
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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