Individual
DANIEL A BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2700 RIVERSIDE AVE STE 2, JACKSONVILLE, FL 32205-8233
(904) 265-7020
(833) 578-1806
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 619-1080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3181
FL
363AS0400X
Surgical Physician Assistant
PA3181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290764000
—
FL
Enumeration date
06/09/2005
Last updated
01/29/2025
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