Individual
BEVERLY LYNN MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2334 SOUTH 8TH STREET, FERNANDINA BEACH, FL 32034-1979
(904) 261-6135
(904) 261-9998
Mailing address
2334 SOUTH 8TH STREET, FERNANDINA BEACH, FL 32034-1979
(904) 261-6135
(904) 261-9998
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101209
FL
Other
Enumeration date
09/15/2008
Last updated
02/24/2011
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