Organization
BEACON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY GOYAL (PRESIDENT)
(772) 468-7020
Entity
Organization
Contact information
Practice address
2011 S 25TH ST STE 106, FORT PIERCE, FL 34947-4795
(772) 229-4770
Mailing address
2011 S 25TH ST STE 105, FORT PIERCE, FL 34947-4795
(772) 229-4770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
05/01/2024
Last updated
02/18/2026
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