Organization
BEACH MEDICAL X4 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN NAUGHTIN MD (MGR)
(813) 466-8704
Entity
Organization
Contact information
Practice address
104 MARCIA DR, ALTAMONTE SPRINGS, FL 32714-2913
(407) 502-0073
Mailing address
104 MARCIA DR, ALTAMONTE SPRINGS, FL 32714-2913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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