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General NPI Number Information
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NPI Number | 1407736887
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Entity Type | Organization
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Legal Business Name | APOLLO BEACH CONCIERGE
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 802 GOLF ISLAND DR
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City | APOLLO BEACH
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State | FL
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Zip | 33572-2780
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Country | US
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Telephone | 813-528-3434
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Fax | 813-762-1746
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Provider Business Mailing Address
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Address Line | 235 APOLLO BEACH BLVD # 123
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City | APOLLO BEACH
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State | FL
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Zip | 33572-2251
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Country | US
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Telephone | 813-528-3434
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Fax | 813-762-1746
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Authorized Official
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Title or Position | ARNP/OWNER
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Name | JAMIE M BEVAN
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Credential | MSN, FNP, ARNP-C AUT
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Telephone | 813-528-3434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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