Healthcare Provider Details

I. General information

NPI: 1114183142
Provider Name (Legal Business Name): NOA ANN BECK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2008
Last Update Date: 01/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 S CONGRESS AVE
ATLANTIS FL
33462-1149
US

IV. Provider business mailing address

9907 SAVONA WINDS DR
DELRAY BEACH FL
33446-9768
US

V. Phone/Fax

Practice location:
  • Phone: 561-548-3727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number047995
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME117936
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: