| Bykota Health, Pllc | |
|
1700 Se Hillmoor Dr Ste 102 Port St Lucie FL 34952-7544 | |
| (772) 779-2724 | |
| (772) 774-3063 |
| Full Name | Bykota Health, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1700 Se Hillmoor Dr Ste 102, Port St Lucie, Florida |
| Authorized Official Name and Position | Oteni Hamilton (OWNER) |
| Authorized Official Contact | 7727792724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bykota Health, Pllc 763 Sw Pelican Cv Port St Lucie FL 34986-2036 Ph: (772) 779-2724 | Bykota Health, Pllc 1700 Se Hillmoor Dr Ste 102 Port St Lucie FL 34952-7544 Ph: (772) 779-2724 |
| NPI Number | 1871281717 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 05/01/2023 |
| Medicare PECOS PAC ID | 3072979665 |
|---|---|
| Medicare Enrollment ID | O20230524002857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871281717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Oteni Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386006070 PECOS PAC ID: 2769718790 Enrollment ID: I20190729000929 |
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