Organization
BEACH MEDICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY G WALKER (PRESIDENT)
(321) 773-9898
Entity
Organization
Contact information
Practice address
2033 S PATRICK DR, SUITE B, INDIAN HARBOUR BEACH, FL 32937-4418
(321) 773-9898
(321) 773-3354
Mailing address
2033 S PATRICK DR, SUITE B, INDIAN HARBOUR BEACH, FL 32937-4418
(321) 773-9898
(321) 773-3354
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
02/19/2014
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