Healthcare Provider Details

I. General information

NPI: 1235500778
Provider Name (Legal Business Name): ARLENE M BECKFORD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2015
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

985 STATE ROAD 436
CASSELBERRY FL
32707-5664
US

IV. Provider business mailing address

985 STATE ROAD 436
CASSELBERRY FL
32707-5664
US

V. Phone/Fax

Practice location:
  • Phone: 407-831-5252
  • Fax: 407-831-3765
Mailing address:
  • Phone: 407-831-5252
  • Fax: 407-831-3765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN9215021
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN9215021
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: