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NPI Code Detail

MEDICARE: DANNY R BEITELSCHIES PA-C

MEDICARE: DANNY R BEITELSCHIES PA-C
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
1363AS0400XSurgical Physician AssistantPA2032FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00449651OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34272466OTHERFLAETNA
4352296OTHERFLAVMED
5P300286OTHERFLFREEDOM HEALTH
661121OTHERFLWELLCARE
76862125OTHERFLCIGNA
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386606366
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANNY R BEITELSCHIES PA-C
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-424-2755
Fax Number : 239-424-2756
Provider Business Practice Location Address
First Line : 708 DEL PRADO BLVD S STE 6
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-2661
Country : US
Telephone Number : 239-424-2755
Fax Number : 239-424-2756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 09/17/2025

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Directions to “ DANNY R BEITELSCHIES PA-C” Practice Location

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