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Individual
MS. THERESA A BIEMER
Active
Individual
MS. THERESA A BIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
PA9101894
FL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
PA9101894
FL
363A00000X
Physician Assistant
Primary
PA9101894
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12697304
CAQH
—
01
—
P62437
MEDICARE UPIN
—
01
—
VAUPP
BCBS PROVIDER NUMBER
FL
Enumeration date
08/31/2006
Last updated
06/25/2020
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