Healthcare Provider Details

I. General information

NPI: 1902065550
Provider Name (Legal Business Name): ELIANA BEJARANO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2008
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 FOREST HILL BLVD STE B
WEST PALM BEACH FL
33406-5812
US

IV. Provider business mailing address

3325 FOREST HILL BLVD STE B
WEST PALM BEACH FL
33406-5812
US

V. Phone/Fax

Practice location:
  • Phone: 561-227-2772
  • Fax: 561-209-0154
Mailing address:
  • Phone: 561-227-2772
  • Fax: 561-209-0154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME101044
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: