Provider Demographics
NPI:1932429685
Name:ELIANA BEJARANO, MD, P.A.
Entity Type:Organization
Organization Name:ELIANA BEJARANO, MD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEJARANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-420-8490
Mailing Address - Street 1:420 S STATE ROAD 7
Mailing Address - Street 2:SUITE 170
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4303
Mailing Address - Country:US
Mailing Address - Phone:561-420-8490
Mailing Address - Fax:561-420-8491
Practice Address - Street 1:420 S STATE ROAD 7
Practice Address - Street 2:SUITE 170
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33414-4303
Practice Address - Country:US
Practice Address - Phone:561-420-8490
Practice Address - Fax:561-420-8491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME101044207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty