Healthcare Provider Details

I. General information

NPI: 1376591990
Provider Name (Legal Business Name): BEATRIZ BEHAR DO
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2163 S US HIGHWAY 1
JUPITER FL
33477-7338
US

IV. Provider business mailing address

2163 S US HIGHWAY 1
JUPITER FL
33477-7338
US

V. Phone/Fax

Practice location:
  • Phone: 561-746-0208
  • Fax: 561-575-1267
Mailing address:
  • Phone: 561-746-0208
  • Fax: 561-575-1267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License NumberOSO6806
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: