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NPI Code Detail

MEDICARE: LUNA BECK MD & ASSOCIATES PA

MEDICARE: LUNA BECK MD & ASSOCIATES PA
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
1207R00000XInternal Medicine PhysicianME88111FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11790742062OTHERFLINDIVIDAUL NPI NUMBER

General Provider Information

NPI Number : 1619018678
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUNA BECK MD & ASSOCIATES PA
Provider Business Mailing Address
First Line : 17820 SE 109TH AVE
Second Line : SUITE 107
City : SUMMERFIELD
State : FL
Zip : 34491-8968
Country : US
Telephone Number : 352-307-7940
Fax Number : 352-307-7941
Provider Business Practice Location Address
First Line : 17820 SE 109TH AVE
Second Line : SUITE 107
City : SUMMERFIELD
State : FL
Zip : 34491-8968
Country : US
Telephone Number : 352-307-7940
Fax Number : 352-307-7941
Authorized Official
Title or Position : PRESIDENT
Name : DR. LUNA BELLA BECK
Credential : M.D.
Telephone Number : 352-307-7940
Provider Enumeration Date : 02/10/2007
Last Update Date : 11/19/2013

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