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NPI Code Detail

MEDICARE: PATRICIA C BEALS

MEDICARE:   PATRICIA C BEALS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1629626429
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA C BEALS
Provider Business Mailing Address
First Line : 2752 ANNHURST AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32826-3478
Country : US
Telephone Number : 407-719-9849
Fax Number :
Provider Business Practice Location Address
First Line : 2752 ANNHURST AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32826-3478
Country : US
Telephone Number : 321-400-5919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2019
Last Update Date : 08/27/2019

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Directions to “ PATRICIA C BEALS ” Practice Location

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