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Individual

BEVERLY ENCARNACION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2128 MAIN ST, DUNEDIN, FL 34698-5604
(727) 736-7733
(727) 736-7740
Mailing address
2128 MAIN ST, DUNEDIN, FL 34698-5604
(727) 736-7733
(727) 736-7740

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME007280
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254970100
FL
01
43411
BLUE CROSS BLUE SHIELD
FL
01
P00061262
RAILROAD MEDICARE
FL
Enumeration date
03/27/2006
Last updated
03/07/2023
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