Individual
CHARLES R BECKENSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 615-7914
Mailing address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 615-7914
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME52175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05890
BCBS
FL
Enumeration date
11/16/2005
Last updated
07/08/2007
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