Individual
MARK STEPHEN BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
314 SE HOSPITAL AVE, STUART, FL 34994-2338
(772) 781-2718
(772) 781-2786
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5665
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME44621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02982
FLORIDA BLUE
FL
05
—
047923300
—
FL
Enumeration date
07/09/2005
Last updated
10/09/2020
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