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Organization
VERO VASCULAR SURGERY PA
Active
Organization
VERO VASCULAR SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CLARK BECKETT M.D. (OWNER)
(772) 567-6602
Entity
Organization
Contact information
Practice address
3770 7TH TER, #101, VERO BEACH, FL 32960-6553
(772) 567-6602
(772) 567-7754
Mailing address
3770 7TH TER, #101, VERO BEACH, FL 32960-6553
(772) 567-6602
(772) 567-7754
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72535
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/07/2006
Last updated
01/26/2010
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