Provider Demographics
NPI:1871281717
Name:BYKOTA HEALTH, PLLC
Entity type:Organization
Organization Name:BYKOTA HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OTENI
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-779-2724
Mailing Address - Street 1:763 SW PELICAN CV
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2036
Mailing Address - Country:US
Mailing Address - Phone:772-779-2724
Mailing Address - Fax:772-774-3063
Practice Address - Street 1:1700 SE HILLMOOR DR STE 102
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-7544
Practice Address - Country:US
Practice Address - Phone:772-779-2724
Practice Address - Fax:772-774-3063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-28
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty