MEDICARE: EVELYN JANKOWSKI BEILMAN ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2931922	FL

General Provider Information

NPI Number	:	1225099666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN JANKOWSKI BEILMAN ARNP

Provider Business Mailing Address
First Line	:	15900 SW 51ST MNR
Second Line	:
City	:	SOUTHWEST RANCHES
State	:	FL
Zip	:	33331-3350
Country	:	US
Telephone Number	:	954-680-6688
Fax Number	:	954-680-6688

Provider Business Practice Location Address
First Line	:	15900 SW 51ST MNR
Second Line	:
City	:	SOUTHWEST RANCHES
State	:	FL
Zip	:	33331-3350
Country	:	US
Telephone Number	:	954-680-6688
Fax Number	:	954-680-6688

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	10/21/2010

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