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NPI Code Detail

MEDICARE: JOSHUA R BEYL

MEDICARE: JOSHUA R BEYL
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
1225100000XPhysical TherapistPT30400FL

Other Identifiers

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

General Provider Information

NPI Number : 1952782864
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA R BEYL
Provider Business Mailing Address
First Line : 1897 ISLAND WALK WAY STE 5
Second Line :
City : FERNANDINA BEACH
State : FL
Zip : 32034-1949
Country : US
Telephone Number : 904-261-4664
Fax Number :
Provider Business Practice Location Address
First Line : 1897 ISLAND WALK WAY STE 5
Second Line :
City : FERNANDINA BEACH
State : FL
Zip : 32034-1949
Country : US
Telephone Number : 904-261-4664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2015
Last Update Date : 03/21/2018

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Directions to “ JOSHUA R BEYL ” Practice Location

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