Provider Demographics
NPI:1699450965
Name:BECK, ANNIA (DO 7292)
Entity type:Individual
Prefix:
First Name:ANNIA
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:DO 7292
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5536 DONNELLY CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-7658
Mailing Address - Country:US
Mailing Address - Phone:407-409-9621
Mailing Address - Fax:
Practice Address - Street 1:3250 VINELAND RD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-4893
Practice Address - Country:US
Practice Address - Phone:407-397-1551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician