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NPI 1043026099

NPI 1043026099 : BEEPERMD MEDICAL GROUP FLORIDA LLC : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1043026099
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEEPERMD MEDICAL GROUP FLORIDA LLC 
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Dates
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    Enumeration Date     |    12/04/2024
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    Last Update Date     |    12/04/2024
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Provider Practice Location Address
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    Address Line         |    21301 POWERLINE RD STE 106 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33433-2389
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    Country              |    US
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    Telephone            |    866-550-2212
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    Fax                  |    561-516-7362
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Provider Business Mailing Address
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    Address Line         |    21301 POWERLINE RD STE 106 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33433-2389
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    Country              |    US
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    Telephone            |    866-550-2212
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    Fax                  |    561-516-7362
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     JEREMY  GELBART 
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    Credential           |    
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    Telephone            |    561-289-0709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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