Healthcare Provider Details

I. General information

NPI: 1326089632
Provider Name (Legal Business Name): SHARON K BEEBE
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7561 HARRINGTON LN
BRADENTON FL
34202-4086
US

IV. Provider business mailing address

7561 HARRINGTON LN
BRADENTON FL
34202-4086
US

V. Phone/Fax

Practice location:
  • Phone: 941-708-7672
  • Fax: 941-708-8517
Mailing address:
  • Phone: 941-708-7672
  • Fax: 941-708-8517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number24483
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: