Healthcare Provider Details

I. General information

NPI: 1043026099
Provider Name (Legal Business Name): BEEPERMD MEDICAL GROUP FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2024
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21301 POWERLINE RD STE 106
BOCA RATON FL
33433-2389
US

IV. Provider business mailing address

21301 POWERLINE RD STE 106
BOCA RATON FL
33433-2389
US

V. Phone/Fax

Practice location:
  • Phone: 866-550-2212
  • Fax: 561-516-7362
Mailing address:
  • Phone: 866-550-2212
  • Fax: 561-516-7362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEREMY GELBART
Title or Position: CEO
Credential:
Phone: 561-289-0709