Thomas Richard Beaver, M.D.
Individual provider Active NPI Family Medicine Physician · Marathon, FL
NPI 1841689528 · NPPES record last updated Jan 17, 2015
Key facts
- NPI
- 1841689528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 75387 (FL)
- Practice address
- 56639 Overseas Hwy
Marathon, FL 33050-5601 - Phone
- (305) 743-9011
- NPI assigned
- Jan 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75387 | FL | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 75387 | FL | Yes |
| Forensic Pathology Physician | 207ZF0201X | 75387 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 75387 | FL |
Addresses
Primary practice location
56639 Overseas Hwy
Marathon, FL 33050-5601
Mailing address
56639 Overseas Hwy
Marathon, FL 33050-5601
Phone (305) 743-9011
Other providers in Marathon, FL
- Baptist Health Medical Group Upper Keys, LLC
- Jason Reeves Barkley
- Brandy Barta
- Bay Shore Physical Therapy Limited Partnership
- Bay Shore Physical Therapy Limited Partnership
- Behavior Therapy of South Florida LLC
- Amanda Elaine Belcher-Hollywood
- Martina R Belotti
- Brittany Lynne Bergeron
- Shelly Marie Bish
All providers in Marathon, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.