Healthcare Provider Details

I. General information

NPI: 1427086891
Provider Name (Legal Business Name): SCOTT BECKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W 68TH ST
HIALEAH FL
33016-1801
US

IV. Provider business mailing address

1151 S.W. 128 TERR APT D-101
PEMBROKE PINES FL
33027
US

V. Phone/Fax

Practice location:
  • Phone: 305-558-5437
  • Fax: 786-639-1671
Mailing address:
  • Phone: 954-445-2550
  • Fax: 954-431-2415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME53841
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License NumberME53841
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: