Healthcare Provider Details

I. General information

NPI: 1306991369
Provider Name (Legal Business Name): JAMIE BROIDA BEER M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6725 CEDARRIDGE DR STE 1
ZEPHYRHILLS FL
33542-7515
US

IV. Provider business mailing address

3916 SORREL VINE DR
WESLEY CHAPEL FL
33544-7328
US

V. Phone/Fax

Practice location:
  • Phone: 813-545-0977
  • Fax:
Mailing address:
  • Phone: 813-545-0977
  • Fax: 866-431-1912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA 6467
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: