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Organization
BEATON PODIATRY CENTER INC
Active
Organization
BEATON PODIATRY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MERKOW (VICE PRESIDENT)
(727) 800-9958
Entity
Organization
Contact information
Practice address
6707 38TH AVE N, ST PETERSBURG, FL 33710-1536
(727) 896-4615
(727) 256-3855
Mailing address
6707 38TH AVE N, ST PETERSBURG, FL 33710-1536
(727) 896-4615
(727) 896-4616
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO312
FL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/24/2007
Last updated
11/07/2025
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