Organization
BETH INGRAM & ASSOCIATES, LLC
Active
Other names
HealthPRO Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA BANKS (DIRECTOR OF OPERATIONS)
(813) 508-2991
Entity
Organization
Contact information
Practice address
1344 W FLETCHER AVE, TAMPA, FL 33612-3366
(813) 653-1149
(813) 654-6644
Mailing address
602 VONDERBURG DR STE 201, BRANDON, FL 33511-5900
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000780900
—
FL
05
—
880065100
—
FL
05
—
880065102
—
FL
05
—
880065104
—
FL
05
—
880065105
—
FL
05
—
880065107
—
FL
01
—
ER761A
MEDICARE PTAN
FL
Enumeration date
05/25/2007
Last updated
06/06/2024
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