Organization
BEACH HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BEACKKOFSKY MD (MEDICAL DIRECTOR)
(813) 279-8878
Entity
Organization
Contact information
Practice address
3618 SWANS LANDING DR, LAND O LAKES, FL 34639-4439
(727) 542-4552
Mailing address
3618 SWANS LANDING DR, LAND O LAKES, FL 34639-4439
(727) 542-4552
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/31/2024
Last updated
04/06/2025
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