Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | CH2508 | FL |
N | 111NX0800X | Chiropractor Orthopedic Specialist | CH2508 | FL |
NPI | 1871542951 |
---|---|
Provider Name | Dr. Stephen Beke, Jr. |
First Address | Clearwater, FL 33765-3217 |
Second Address | Clearwater, FL 33765-3217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 08/07/2007 |