Individual provider · NPI-1

Dr. Michael James Beck, MD

Emergency Medicine · Orange Park, FL

NPI number1417105404
StatusActive
Last updated in NPPESNov 28, 2022

Details

NPI
1417105404
Entity type
Individual (NPI-1)
Name
Dr. Michael James Beck
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 3, 2008
Certification date
Nov 28, 2022
Last updated
Nov 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine252869NYYes
207P00000X Emergency Medicine156694FL

Practice location

2001 Kingsley Ave
Orange Park, FL 32073-5148

Phone 904-639-8500

Mailing address

262 Woodland Greens Dr
Ponte Vedra, FL 32081-8428

Phone 631-682-7767

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