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Contact Information

ROGER G BECK, DPM
619 S MARION AVE
SURGICAL SERVICES
LAKE CITY, FL32025-5808
 Phone: 386-755-3916
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ROGER G BECK · (Male)

NPI Number 1649269457
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/14/2005
Last updated 09/01/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PO 2071
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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