Individual provider · NPI-1

Dr. Samuel Becker, M.D.

Family Medicine · West Palm Beach, FL

NPI number1508009135

StatusActive

Last updated in NPPESJun 11, 2020

Details

NPI: 1508009135
Entity type: Individual (NPI-1)
Name: Dr. Samuel Becker
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Apr 13, 2009
Certification date: Jun 11, 2020
Last updated: Jun 11, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	ME117064	FL	Yes
207Q00000X	Family Medicine	Q1570	TX
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501

Phone 561-420-8555 · Fax 561-420-8550

Mailing address

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501

Phone 561-420-8555 · Fax 561-420-8550

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