MEDICARE: DAVID BEIRA NP

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	363LF0000X	Family Nurse Practitioner	ARNP9264489	FL

General Provider Information

NPI Number	:	1508188467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID BEIRA NP

Provider Business Mailing Address
First Line	:	14604 SW 80TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-2918
Country	:	US
Telephone Number	:	305-388-3486
Fax Number	:

Provider Business Practice Location Address
First Line	:	14604 SW 80TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-2918
Country	:	US
Telephone Number	:	305-388-3486
Fax Number	:

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

Provider Enumeration Date	:	02/19/2010
Last Update Date	:	04/27/2011

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