Healthcare Provider Details

I. General information

NPI: 1245741214
Provider Name (Legal Business Name): BECKALOVE PATERNITI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 01/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14690 SPRING HILL DR STE 206
SPRING HILL FL
34609-8102
US

IV. Provider business mailing address

14690 SPRING HILL DR STE 305
SPRING HILL FL
34609-8102
US

V. Phone/Fax

Practice location:
  • Phone: 352-799-4206
  • Fax: 352-799-4207
Mailing address:
  • Phone: 352-799-0046
  • Fax: 352-606-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9311907
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: