Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7315 GREEN SLOPE DR
ZEPHYRHILLS FL
33541-1314
US

IV. Provider business mailing address

PO BOX 102222
ATLANTA GA
30368-2222
US

V. Phone/Fax

Practice location:
  • Phone: 813-778-0400
  • Fax: 833-778-3246
Mailing address:
  • Phone: 239-274-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9311907
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: