Healthcare Provider Details

I. General information

NPI: 1356485742
Provider Name (Legal Business Name): HIROKO BECK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2007
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 SW 11TH ST
OCALA FL
34471-0967
US

IV. Provider business mailing address

PO BOX 100227
GAINESVILLE FL
32610-0227
US

V. Phone/Fax

Practice location:
  • Phone: 352-354-9000
  • Fax: 352-620-0255
Mailing address:
  • Phone: 352-273-9079
  • Fax: 352-273-8889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME153656
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME153656
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberME153656
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number252406-1
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number252406
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: