Organization
BEACON PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER PENROD (BILLER)
(832) 289-9225
Entity
Organization
Contact information
Practice address
17819 TIDEWATER BAY LN, LUTZ, FL 33549-5419
(813) 447-9249
Mailing address
17819 TIDEWATER BAY LN, LUTZ, FL 33549-5419
(813) 447-9249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us