Beach Medical X1 LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BEACH MEDICAL X1 LLC

Practice address

401 N Mills Ave Ste a
Orlando, FL 32803-5735

Phone

(407) 502-0073

NPI assigned

Nov 30, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan Naughtin, MD

Title

MGR

Phone

(407) 502-0073

Specialties & licenses 1

Addresses

Other names 1

• Beach Medical Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1346016243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MILLS AVE STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035735",
            "telephone_number": "407-502-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MILLS AVE STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035735",
            "telephone_number": "407-502-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH MEDICAL X1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "NAUGHTIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "407-502-0073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Bazin
• Vanessa Marie Baztan, M.S CCC-SLP
• BBC Enterprises LLC
• BDC Care LLC
• Be Well Holistic Care, LLC
• Beach Medical X2 LLC
• Pamela Beach-Reber, M.D.
• Aliyah Feliz Beacham
• Brianne Beacham
• Cherish Beacham

• All providers in Orlando, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.