Individual
DR. MICHELE RENNA BECK-TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1447 MEDICAL PARK BLVD, SUITE 202, WELLINGTON, FL 33414-3164
(561) 792-4508
(561) 964-8961
Mailing address
1447 MEDICAL PARK BLVD, SUITE 202, WELLINGTON, FL 33414-3164
(561) 792-4508
(561) 964-8961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME83580
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME83580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701884
UNITED HEALTHCARE
FL
01
—
195758
STAYWELL/WELLCARE
FL
05
—
262844900
—
FL
01
—
270046672
TAX ID
FL
01
—
2700466720000E
VISTA
FL
01
—
2702449
AETNA
FL
01
—
62926
BCBS
FL
01
—
H54674
PARITY
FL
Enumeration date
04/14/2006
Last updated
05/10/2019
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