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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