Individual
LINDA K BEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
300 S HYDE PARK AVE, STE 210, TAMPA, FL 33606-4125
(813) 259-1013
(813) 254-0396
Mailing address
300 S HYDE PARK AVE, STE 210, TAMPA, FL 33606-4125
(813) 259-1013
(813) 254-0396
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP1624212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302019300
—
FL
01
—
500025344
RAILROAD MEDICARE
FL
01
—
500027748
RAILROAD MEDICARE
FL
01
—
500028922
RAILROAD MEDICARE
FL
01
—
Y6016
BC/BS FLA
FL
Enumeration date
08/30/2005
Last updated
03/30/2017
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