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NPI Code Detail

MEDICARE: ANDREW BEYER

MEDICARE: ANDREW BEYER
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1407457427
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW BEYER
Provider Business Mailing Address
First Line : 2527 ANNAPOLIS WAY APT 206
Second Line :
City : BRANDON
State : FL
Zip : 33511-2346
Country : US
Telephone Number : 610-316-2460
Fax Number :
Provider Business Practice Location Address
First Line : 4004 N RIVERSIDE DR
Second Line :
City : TAMPA
State : FL
Zip : 33603-3212
Country : US
Telephone Number : 813-279-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2020
Last Update Date : 11/05/2020

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