Healthcare Provider Details

I. General information

NPI: 1699048157
Provider Name (Legal Business Name): BEVERLY ARNITA SCRUGGS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BEVERLY ARNITA MORLEY

II. Dates (important events)

Enumeration Date: 02/14/2012
Last Update Date: 11/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12271 US HIGHWAY 301 N
PARRISH FL
34219-8410
US

IV. Provider business mailing address

700 8TH AVE W STE 101
PALMETTO FL
34221-4737
US

V. Phone/Fax

Practice location:
  • Phone: 941-708-7669
  • Fax: 941-708-8893
Mailing address:
  • Phone: 941-776-4000
  • Fax: 941-845-4963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9180840
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: