MEDICARE: STEVE SCOTT BEISER M.D.

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	207R00000X	Internal Medicine Physician	ME53305	FL

General Provider Information

NPI Number	:	1447262274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVE SCOTT BEISER M.D.

Provider Business Mailing Address
First Line	:	3131 JONES RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32220-2806
Country	:	US
Telephone Number	:	904-403-3181
Fax Number	:	904-281-9606

Provider Business Practice Location Address
First Line	:	3131 JONES RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32220-2806
Country	:	US
Telephone Number	:	904-403-3181
Fax Number	:	904-281-9806

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	12/05/2014

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