Basic Information
Provider Information
NPI: 1245367440
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEER
FirstName: MYRON
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2007 PALM BEACH LAKES BLVD
Address2:  
City: WEST PALM BEACH
State: FL
PostalCode: 334096501
CountryCode: US
TelephoneNumber: 5614208555
FaxNumber: 5614208550
Practice Location
Address1: 2007 PALM BEACH LAKES BLVD
Address2:  
City: WEST PALM BEACH
State: FL
PostalCode: 334096501
CountryCode: US
TelephoneNumber: 5614208555
FaxNumber: 5614208550
Other Information
ProviderEnumerationDate: 02/27/2007
LastUpdateDate: 10/07/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XNY143693NYN Allopathic & Osteopathic PhysiciansPediatrics 
208000000XME131272FLY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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