Organization
PALM BEACHES EKG READERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M BEAVER M.D. (MANAGING PARTNER)
(561) 747-5755
Entity
Organization
Contact information
Practice address
2201 45TH ST, WEST PALM BEACH, FL 33407-2047
(561) 842-6141
Mailing address
PO BOX 8063, JUPITER, FL 33468-8063
(561) 747-5755
(561) 743-3359
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376434600
—
FL
Enumeration date
11/02/2006
Last updated
04/29/2008
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