Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | OS9952 | FL |
NPI | 1457570384 |
---|---|
Provider Name | Dr. Ronald Michael Bekic |
First Address | Fort Lauderdale, FL 33309-6349 |
Second Address | Fort Lauderdale, FL 33309-6349 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 22/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
279489896 00 | (05) | FL |