Individual
RAQUEL LEE BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-5603
(352) 273-5159
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
11021008
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11021008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119091700
—
FL
Enumeration date
08/19/2022
Last updated
03/31/2025
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