Provider Demographics
NPI:1871768796
Name:DAVID MAKOVER M D LLC
Entity type:Organization
Organization Name:DAVID MAKOVER M D LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKOVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-750-4221
Mailing Address - Street 1:2900 N MILITARY TRAIL
Mailing Address - Street 2:SUITE 244N
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6365
Mailing Address - Country:US
Mailing Address - Phone:561-750-4221
Mailing Address - Fax:561-367-0529
Practice Address - Street 1:2900 N MILITARY TRL
Practice Address - Street 2:SUITE 244N
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6365
Practice Address - Country:US
Practice Address - Phone:561-750-4221
Practice Address - Fax:561-367-0529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0056294207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL660003238OtherPALMETTO GBA MEDICARE
FLB42372Medicare UPIN
FL660003238OtherPALMETTO GBA MEDICARE
FLAJ130Medicare PIN