MEDICARE: ELIANA BEJARANO MD

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	207V00000X	Obstetrics & Gynecology Physician	ME101044	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1902065550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIANA BEJARANO MD

Provider Business Mailing Address
First Line	:	3325 FOREST HILL BLVD STE B
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5812
Country	:	US
Telephone Number	:	561-227-2772
Fax Number	:	561-209-0154

Provider Business Practice Location Address
First Line	:	3325 FOREST HILL BLVD STE B
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5812
Country	:	US
Telephone Number	:	561-227-2772
Fax Number	:	561-209-0154

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

Provider Enumeration Date	:	06/07/2008
Last Update Date	:	09/13/2022

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