MEDICARE: CLIFF BECKER

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	183500000X	Pharmacist	PS20867	FL

General Provider Information

NPI Number	:	1851686489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLIFF BECKER

Provider Business Mailing Address
First Line	:	4400 N STATE ROAD 7
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33073-3353
Country	:	US
Telephone Number	:	954-366-2135
Fax Number	:	954-366-2145

Provider Business Practice Location Address
First Line	:	4400 N STATE ROAD 7
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33073-3353
Country	:	US
Telephone Number	:	954-366-2135
Fax Number	:	954-366-2145

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

Provider Enumeration Date	:	06/11/2011
Last Update Date	:	06/11/2011

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