MEDICARE: ROBIN A BECK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	173494	FL

General Provider Information

NPI Number	:	1194781138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN A BECK MD

Provider Business Mailing Address
First Line	:	1545 S 14TH ST
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32034-3049
Country	:	US
Telephone Number	:	904-202-4243
Fax Number	:	904-390-7415

Provider Business Practice Location Address
First Line	:	1545 S 14TH ST
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32034-3049
Country	:	US
Telephone Number	:	904-202-4243
Fax Number	:	904-390-7415

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	09/05/2025

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