MEDICARE: DR. BEVERLY JEAN DINSDALE PHARM.D.

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	1835P1200X	Pharmacotherapy Pharmacist	PS32572	FL

General Provider Information

NPI Number	:	1427047604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BEVERLY JEAN DINSDALE PHARM.D.

Provider Business Mailing Address
First Line	:	211 SANTA MONICA CT
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-9421
Country	:	US
Telephone Number	:	239-218-7831
Fax Number	:

Provider Business Practice Location Address
First Line	:	3033 WINKLER AVENUE EXT
Second Line	:
City	:	FT MYERS
State	:	FL
Zip	:	33916-9413
Country	:	US
Telephone Number	:	239-939-3939
Fax Number	:	239-931-6116

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	07/08/2007

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