Healthcare Provider Details
I. General information
NPI: 1831017607
Provider Name (Legal Business Name): BEACON MEDICAL FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3945 W ATLANTIC AVE STE 101
DELRAY BEACH FL
33445-3902
US
IV. Provider business mailing address
4929 SW 74TH CT FL 1
MIAMI FL
33155-4412
US
V. Phone/Fax
- Phone: 954-471-6447
- Fax: 954-471-6447
- Phone: 954-471-6447
- Fax: 954-471-6447
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANKEET
CHOXI
Title or Position: OWNER
Credential: MD
Phone: 954-471-6447