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NPI Code Detail

MEDICARE: LATONYA PATRICE BEAL FNP

MEDICARE:   LATONYA PATRICE BEAL  FNP
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
1363LF0000XFamily Nurse Practitioner9311550FL

General Provider Information

NPI Number : 1972023695
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATONYA PATRICE BEAL FNP
Provider Business Mailing Address
First Line : 14015 NE 8TH AVE
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-3262
Country : US
Telephone Number : 786-853-4182
Fax Number :
Provider Business Practice Location Address
First Line : 14015 NE 8TH AVE
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-3262
Country : US
Telephone Number : 786-853-4182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2017
Last Update Date : 06/23/2017

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Directions to “ LATONYA PATRICE BEAL FNP” Practice Location

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