Healthcare Provider Details

I. General information

NPI: 1174448674
Provider Name (Legal Business Name): BEEYOND PLAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19455 SHUMARD OAK DR UNIT 105
LAND O LAKES FL
34638-7257
US

IV. Provider business mailing address

19455 SHUMARD OAK DR UNIT 105
LAND O LAKES FL
34638-7257
US

V. Phone/Fax

Practice location:
  • Phone: 813-447-1447
  • Fax:
Mailing address:
  • Phone: 813-447-1447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: LOAN HUYNH NGUYEN
Title or Position: OWNER
Credential:
Phone: 813-995-1461