Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 9782 | FL |
NPI | 1003141656 |
---|---|
Provider Name | Dr. Beau Makarewicz |
First Address | Ocala, FL 34478-0668 |
Second Address | Ocala, FL 34471-8167 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2009 |
Last Update Date | 22/08/2013 |