Provider Demographics
NPI:1013972710
Name:MARGITA BEARD, M.D.,P.A.
Entity Type:Organization
Organization Name:MARGITA BEARD, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGITA
Authorized Official - Middle Name:V
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-794-3998
Mailing Address - Street 1:1416 59TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-4607
Mailing Address - Country:US
Mailing Address - Phone:941-794-3998
Mailing Address - Fax:941-792-2751
Practice Address - Street 1:1416 59TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-4607
Practice Address - Country:US
Practice Address - Phone:941-794-3998
Practice Address - Fax:941-792-2751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67285208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG15118Medicare UPIN
FL31612Medicare ID - Type Unspecified