Healthcare Provider Details

I. General information

NPI: 1326943515
Provider Name (Legal Business Name): FAITH LINDEBERG XIAOZHUO BEATTIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 LENOX AVE
MIAMI BEACH FL
33139-3387
US

IV. Provider business mailing address

3265 VIRGINIA ST APT 18
MIAMI FL
33133-5240
US

V. Phone/Fax

Practice location:
  • Phone: 786-502-1818
  • Fax:
Mailing address:
  • Phone: 717-385-0824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11051410
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: