MEDICARE: STEFANI ROHANI MARIE BEALE MBBS

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
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	ME150164	FL
2	207R00000X	Internal Medicine Physician	30292	MS

General Provider Information

NPI Number	:	1881189967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFANI ROHANI MARIE BEALE MBBS

Provider Business Mailing Address
First Line	:	29153 CHAPEL PARK DRIVE
Second Line	:	UNIT A
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543
Country	:	US
Telephone Number	:	305-808-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	29153 CHAPEL PARK DR UNIT A
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-4423
Country	:	US
Telephone Number	:	305-808-4100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2018
Last Update Date	:	08/12/2025

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