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Individual

MR. JEFFREY C BEASOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2706 REW CIR, OCOEE, FL 34761-4215
(407) 614-8337
(407) 614-8341
Mailing address
2706 REW CIR, OCOEE, FL 34761-4215
(407) 614-8337
(407) 614-8341

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT5738
FL
2251X0800X
Orthopedic Physical Therapist
Primary
PT5738
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000698700
FL
Enumeration date
03/04/2009
Last updated
12/21/2023
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