HomeNPI Verification

NPI Verification

National Provider Identifier: 1710734496

Beacon MD LLC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (4)

Family Medicine

Code: 207Q00000X

Psychiatry & Neurology, Neurology

Code: 2084N0400X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

2011 S 25TH ST STE 105

FORT PIERCE, FL 349474795

Phone: 772-229-4770

NPI Enumeration Date

May 1, 2024

NPI Number

1710734496

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry