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BEACH MEDICAL X4 LLC
NPI 1053182212
Family Medicine in Altamonte Springs, FL

Active since January 15, 2024CLIA 10D2332934 · Certificate of Compliance
104 MARCIA DR, ALTAMONTE SPRINGS, FL 32714(407) 502-0073 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beach Medical X4 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACH MEDICAL X4 LLC (NPI 1053182212) is a healthcare organization registered as a family medicine in Altamonte Springs, Florida and active in the NPI registry since January 2024. The organization holds a CLIA Certificate of Compliance certificate valid through October 27, 2027 and lists Ryan Naughtin, Mgr, as its authorized official.

NPPES Registry Identity

NPI1053182212
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACH MEDICAL X4 LLC
Location Address104 MARCIA DRAltamonte Springs, FL 32714-2913
Mailing Address104 Marcia DrAltamonte Springs, FL 32714-2913
Phone(407) 502-0073
Organization SubpartNo
Authorized OfficialRyan NaughtinMgr · (813) 466-8704
Enumeration DateJanuary 15, 2024
NPPES CertifiedJanuary 15, 2024
✔ NPI 1053182212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
104 MARCIA DR, Altamonte Springs, FL 32714
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2332934

Beach Medical X1 LLC · Orlando, FL
Active · expires Oct 27, 2027
CLIA Number10D2332934
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorRyan J. Naughtin
Laboratory Phone(407) 502-0073
Laboratory LocationBeach Medical X1 LLC401 N Mills Ave Ste A, Orlando, FL 32803
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JDC MED LLC
Clinic/Center (Multi-Specialty)
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714
Seminole County (407) 573-6627
DAVID W CHAMBERS OD PA
Optometrist
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714
Seminole County (352) 483-3555
MYRNARIS CORDERO-DOMENECH DC
Chiropractor
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714
Seminole County (407) 378-6081
CENTRAL FLORIDA PREMIER EYE ASSOCIATES
Durable Medical Equipment & Medical Supplies
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714
Seminole County (407) 862-7234
KAYLA VASQUEZ APRN
Nurse Practitioner (Family)
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714
Seminole County (407) 378-6081
PRECISION EYE CARE CENTER LLC
Optometrist
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714
Seminole County (407) 862-7234
DR. KAITLYN SMITH OD
Optometrist
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714
Seminole County (407) 862-7234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beach Medical X4 LLC's NPI number?

The NPI number for Beach Medical X4 LLC is 1053182212. It was assigned to this organization in the NPPES registry on January 15, 2024.

Where is Beach Medical X4 LLC located?

Beach Medical X4 LLC is located at 104 Marcia Dr, Altamonte Springs, FL 32714. The listed phone number is (407) 502-0073.

What is Beach Medical X4 LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Beach Medical X4 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2332934) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beach Medical X4 LLC was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.