Organization
BEACHSIDE ADVANCED PRACTICE NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA O'BRIEN APRN (PRESIDENT)
(321) 288-5739
Entity
Organization
Contact information
Practice address
525 ISLAND CT, INDIAN HARBOUR BEACH, FL 32937-4385
(321) 288-5739
Mailing address
525 ISLAND CT, INDIAN HARBOUR BEACH, FL 32937-4385
(321) 288-5739
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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