# BEYOND MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902302375
- **Authorized official:** DANIELLE CLARKE (MEMBER)
- **Authorized official phone:** (732) 742-4142

## Contact information

- **Practice address:** 460 E ALTAMONTE DR STE 2250, ALTAMONTE SPRINGS, FL 32701-4652
- **Practice address phone:** (407) 261-1001
- **Mailing address:** 460 E ALTAMONTE DR STE 2250, ALTAMONTE SPRINGS, FL 32701-4652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2018
- **Last updated:** 04/03/2018