Individual
WILLIAM C BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3770 7TH TER, #101, VERO BEACH, FL 32960-6553
(772) 567-6602
(772) 567-7754
Mailing address
3770 7TH TER, #101, VERO BEACH, FL 32960-6553
(772) 567-6602
(772) 567-7754
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME 55480
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062085800
—
FL
01
—
09563
BLUE CROSS BLUE SHIELD
FL
01
—
770001197
RAILROAD MEDICARE #
FL
Enumeration date
02/06/2006
Last updated
12/17/2009
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