Healthcare Provider Details

I. General information

NPI: 1083535553
Provider Name (Legal Business Name): BETH MEIRAV
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7025 BERACASA WAY STE 105C
BOCA RATON FL
33433-3465
US

IV. Provider business mailing address

21800 BEACHNUT DR
BOCA RATON FL
33433-3638
US

V. Phone/Fax

Practice location:
  • Phone: 561-409-2137
  • Fax:
Mailing address:
  • Phone: 917-640-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: