MEDICARE: DR. EDA MARIA BEERS DMD

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	122300000X	Dentist	DN0012823	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437118460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDA MARIA BEERS DMD

Provider Business Mailing Address
First Line	:	6350 76TH AVE
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-3152
Country	:	US
Telephone Number	:	727-547-7780
Fax Number	:	727-549-6440

Provider Business Practice Location Address
First Line	:	6350 76TH AVE
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-3152
Country	:	US
Telephone Number	:	727-547-7780
Fax Number	:	727-549-6440

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

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	07/09/2007

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