Individual
MS. CARMELLE BEAUVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10775 PIONEER TRL STE 215, TRUCKEE, CA 96161-0234
(415) 424-4266
(415) 520-6633
Mailing address
9100 S DADELAND BLVD STE 1500, MIAMI, FL 33156-7816
(415) 424-4266
(415) 520-6633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
026644
NY
363A00000X
Physician Assistant
085009418
IL
363A00000X
Physician Assistant
10004061A
IN
363A00000X
Physician Assistant
10509
GA
363A00000X
Physician Assistant
5601011153
MI
363A00000X
Physician Assistant
59596
CA
363A00000X
Physician Assistant
Primary
PA9102688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023418000
—
FL
Enumeration date
06/21/2005
Last updated
03/13/2024
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