MEDICARE: PAMELA J BECK

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	3747P1801X	Personal Care Attendant

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	:	1669182952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA J BECK

Provider Business Mailing Address
First Line	:	3009 BAY TREE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-5601
Country	:	US
Telephone Number	:	843-290-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3009 BAY TREE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-5601
Country	:	US
Telephone Number	:	843-290-8000
Fax Number	:

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

Provider Enumeration Date	:	11/29/2022
Last Update Date	:	11/29/2022

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Directions to “ PAMELA J BECK ” Practice Location

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