Individual
JOSHUA A BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3000 S MCCALL RD, ENGLEWOOD, FL 34224-8616
(941) 841-4200
(941) 841-4201
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015462200
—
FL
01
—
Y0T0R
BCBS
FL
Enumeration date
08/06/2015
Last updated
08/04/2024
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