Doctor Name: | DR. LIRON BELTZER |
NPI Number: | 1033446349 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME105585 |
Business Practice Address: | 3601 Sw 160th Ave Suite 250 Miramar, FL - 330276308 |
Business Phone Number: | 9543994642 |
Business Fax Number: | 8778598768 |
Mailing Address: | 1201 Ne 100th St, MIAMI SHORES |
State: | FL |
Postal Code: | 331382603 |
Phone Number: | 3057572080 |
Fax Number: | 9545847209 |
NPI Enumeration Date: | 11/06/2009 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME105585 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |