Organization
BECKETT HTLF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CHARLES BECKETT MD (OWNER)
(941) 206-5200
Entity
Organization
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(941) 206-5200
Mailing address
PO BOX 495009, PORT CHARLOTTE, FL 33949-5009
(941) 206-5200
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME105774
FL
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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