Individual
BEVERLY CHAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13908 LAKESHORE BLVD STE 240, HUDSON, FL 34667-1492
(727) 868-1312
(727) 863-7929
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1178912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302642600
—
FL
Enumeration date
08/29/2006
Last updated
07/03/2019
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