Beatty, Mark Stephen

Beatty, Mark Stephen is an individual health care provider with primary practice located at 314 Se Hospital Ave , Stuart FL 34994-2338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Beatty, Mark Stephen can be contacted via phone (772) 781-2718.

Contact Information

Primary practice address
314 Se Hospital Ave Stuart FL 34994-2338
Phone: (772) 781-2718
Fax: (772) 781-2786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME44621 Florida

Profile Details

NPI number 1356349773
LBN Legal business name Beatty, Mark Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated Oct 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356349773 NPPES
Florida MEDICAID 047923300
Florida Other 02982

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