Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 25MA10657000 | NJ |
Y | 2080P0203X | Pediatric Critical Care Doctor | ME145500 | FL |
NPI | 1053774968 |
---|---|
Provider Name | Dr. Adam J. Beaton |
First Address | Miami, FL 33155-3009 |
Second Address | Miami, FL 33155-3009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2016 |
Last Update Date | 06/08/2020 |