Organization
RADIOLOGY ASSOCIATES OF THE TREASURE COAST PA INC
Active
Organization
RADIOLOGY ASSOCIATES OF THE TREASURE COAST PA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD BEATON MD (PHYSICIAN OWNER)
(772) 873-4525
Entity
Organization
Contact information
Practice address
698 SW PORT ST LUCIE BLVD, SUITE 109, PORT ST LUCIE, FL 34953-1565
(772) 873-4525
(772) 873-4121
Mailing address
PO BOX 71, JENSEN BEACH, FL 34958-0071
(866) 263-3820
(866) 857-9967
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38457
BCBS PROVIDER GROUP ID#
FL
01
—
CJ7124
RAILROAD MEDICARE
FL
Enumeration date
03/07/2006
Last updated
08/27/2016
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