Provider Demographics
NPI:1497974778
Name:A.E. BEGUI, D.O, P.A.
Entity Type:Organization
Organization Name:A.E. BEGUI, D.O, P.A.
Other - Org Name:SINAI WALK IN CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ESMAILBEGUI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:321-637-0033
Mailing Address - Street 1:2070 US HIGHWAY 1
Mailing Address - Street 2:#102
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-3745
Mailing Address - Country:US
Mailing Address - Phone:321-637-0033
Mailing Address - Fax:321-637-0025
Practice Address - Street 1:2070 US HIGHWAY 1
Practice Address - Street 2:#102
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-3745
Practice Address - Country:US
Practice Address - Phone:321-637-0033
Practice Address - Fax:321-637-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS5921261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7267Medicare ID - Type Unspecified