DR. DANIEL DESTA BEKELE (NPI# 1447762919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447762919 |
| Entity Type | Individual |
| Full Name | DR. DANIEL DESTA BEKELE |
| Credential | MD |
| Practice Address |
1001 W Las Olas Blvd Apt 4 Fort Lauderdale FL 33312 |
| Mailing Address |
6113 Ridge Ave Saint Louis MO 63133-2616 |
| Practice Telephone | 7202356443 |
| Mailing Telephone | 3142309050 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2018-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 2017038037 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 333127188 | 7202356443 | |
| 5203 Chippewa St, Saint Louis, MO 631092356 | 7202356443 |
| Street Address |
1001 W LAS OLAS BLVD APT 4 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| 1548627367 | Wellness Way Family Health | Acupuncturist | 2085 Sw 29 Ave, Fort Lauderdale, FL 33312 | 2016-01-25 |
| Find all providers in zip 33312 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702812 | Regenerate Wellness Inc | General Practice | 2631 E Oakland Park Blvd Ste 110, Fort Lauderdale, FL 33306-1607 | 2020-05-22 |
| 1871008359 | Benefit One Plus Corp | General Practice | 100 Se 3rd Ave Fl 10th, Fort Lauderdale, FL 33394-0002 | 2017-12-06 |
| 1114319902 | Dorilas Foundation Corporation | General Practice | 3510 Nw 8th St, Fort Lauderdale, FL 33311-6416 | 2015-03-03 |
| 1942529730 | Brett Bolton | General Practice | 2715 E Oakland Park Blvd, Suite 200, Fort Lauderdale, FL 33306-1659 | 2010-05-19 |
| 1235457482 | David Arnold Tillman | General Practice | 1585 S Ocean Ln, #280, Fort Lauderdale, FL 33316-3335 | 2010-05-12 |
| 1801098926 | Maria Belen Game | General Practice | 2500 E Commercial Blvd Ste D, Fort Lauderdale, FL 33308 | 2007-06-01 |
| 1053415299 | James Thomas Collins | General Practice | 5740 Ne 21st Rd, Fort Lauderdale, FL 33308-2566 | 2006-09-08 |
| 1548897689 | Broroc, LLC | General Practice | 1809 Ne 59th St, Fort Lauderdale, FL 33308-2443 | 2020-03-26 |
| 1093342594 | Wesley Paul | General Practice | 1809 Ne 59th St, Fort Lauderdale, FL 33308-2443 | 2020-03-25 |
| 1215588413 | The Family Place Fl, Professional Group, LLC | General Practice | 2151 E Commercial Blvd Ste 301, Fort Lauderdale, FL 33308-3807 | 2019-09-28 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33312 |
Please comment or provide details below to improve the information on DR. DANIEL DESTA BEKELE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.