Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | BP10049299 | TX |
NPI | 1013327535 |
---|---|
Provider Name | Kevin M Beers |
First Address | Orlando, FL 32806-2032 |
Second Address | Orlando, FL 32806-2032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2014 |
Last Update Date | 30/08/2021 |