Individual
MS. BRETTE BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
PA-C
Contact information
Practice address
3950 3RD ST N STE A, SAINT PETERSBURG, FL 33703-6123
(727) 821-0612
(727) 822-5507
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329
(410) 873-8500
(410) 883-0876
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA9118272
FL
207P00000X
Emergency Medicine Physician
PA9118272
FL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
03/24/2026
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