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NPI Code Detail

MEDICARE: BETH CUMMINGS

MEDICARE: BETH CUMMINGS
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
1225X00000XOccupational TherapistOT13478FL

General Provider Information

NPI Number : 1982094751
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH CUMMINGS
Provider Business Mailing Address
First Line : 13405 FOXHAVEN DR N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-2003
Country : US
Telephone Number : 904-962-2977
Fax Number :
Provider Business Practice Location Address
First Line : 11512 LAKE MEAD AVE UNIT 604
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-9686
Country : US
Telephone Number : 904-652-5408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2015
Last Update Date : 12/23/2019

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Directions to “ BETH CUMMINGS ” Practice Location

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