Organization
ORANGE COUNTY HEALTH DEAPRTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY JEAN-JACQUES LPN (LPN)
(407) 296-6410
Entity
Organization
Contact information
Practice address
832 W CENTRAL BLVD, ORLANDO, FL 32805-1809
(407) 296-1064
(407) 836-7119
Mailing address
832 W CENTRAL BLVD, ORLANDO, FL 32805-1809
(407) 296-6410
(407) 836-7119
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5147188
FL
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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