| Luna Beck Md & Associates Pa | |
|
17820 Se 109th Ave Suite 107 Summerfield FL 34491-8968 | |
| (352) 307-7940 | |
| (352) 307-7941 |
| Full Name | Luna Beck Md & Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 17820 Se 109th Ave, Summerfield, Florida |
| Authorized Official Name and Position | Luna Bella Beck (PRESIDENT) |
| Authorized Official Contact | 3523077940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Beck Md & Associates Pa 17820 Se 109th Ave Suite 107 Summerfield FL 34491-8968 Ph: (352) 307-7940 | Luna Beck Md & Associates Pa 17820 Se 109th Ave Suite 107 Summerfield FL 34491-8968 Ph: (352) 307-7940 |
| NPI Number | 1619018678 |
|---|---|
| Provider Enumeration Date | 02/10/2007 |
| Last Update Date | 11/19/2013 |
| Medicare PECOS PAC ID | 0244249043 |
|---|---|
| Medicare Enrollment ID | O20060405000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619018678 | NPI | - | NPPES |
| 1790742062 | Other | FL | INDIVIDAUL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME88111 (Florida) | Primary |
| Provider Name | Luna Beck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790742062 PECOS PAC ID: 1254322167 Enrollment ID: I20040520000083 |
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