Individual
JACQUELINE BEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20307 ASH GROVE LN, TAMPA, FL 33647-3469
(813) 569-8699
Mailing address
20307 ASH GROVE LN, TAMPA, FL 33647-3469
(813) 569-8699
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022619700
—
FL
Enumeration date
01/22/2018
Last updated
01/22/2018
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