OrganizationActive
Beach Medical X4 LLC
NPI 1053182212 · Family Medicine Physician · Altamonte Springs, FL
Provider details
- NPI number
- 1053182212
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Naughtin, Mgr(813) 466-8704
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 Marcia Dr
Altamonte Springs, FL 32714-2913
Phone: (407) 502-0073
Street-level locationGet directions
Mailing address
104 Marcia Dr
Altamonte Springs, FL 32714-2913
Registry dates
- Enumerated
- 2024-01-15
- Last updated
- 2024-01-15
- Certified
- 2024-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.