MEDICARE: DR. MARK BEYLIN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PO2911	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1356391601	OTHER		NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356391601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK BEYLIN DPM

Provider Business Mailing Address
First Line	:	2404 N COURTENAY PKWY
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32953-4191
Country	:	US
Telephone Number	:	321-452-1327
Fax Number	:	321-454-9208

Provider Business Practice Location Address
First Line	:	2404 N COURTENAY PKWY
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32953-4191
Country	:	US
Telephone Number	:	321-452-1327
Fax Number	:	321-454-9208

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	08/21/2015

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Directions to “ DR. MARK BEYLIN DPM” Practice Location

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