Individual
MS. DENISE D BEITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
170 S YONGE ST, STE. A, ORMOND BEACH, FL 32174-6286
(386) 673-0524
(386) 673-0539
Mailing address
460 SAULS ST, ORMOND BEACH, FL 32174-7561
(386) 672-1001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA19045
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C4024
BLUE CROSS BLUE SHIELD OF
FL
Enumeration date
05/18/2007
Last updated
07/08/2007
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