Individual
JENNA BEATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11317 LAKE UNDERHILL RD STE 600, ORLANDO, FL 32825-4453
(407) 641-0426
(407) 641-0427
Mailing address
11317 LAKE UNDERHILL RD STE 600, ORLANDO, FL 32825-4453
(407) 641-0426
(407) 641-0427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119408
FL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125678100
—
FL
Enumeration date
09/13/2024
Last updated
03/05/2025
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