Individual
BEENA WYCLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
975 BAPTIST WAY, HOMESTEAD, FL 33033-7600
(786) 243-8000
Mailing address
975 BAPTIST WAY, HOMESTEAD, FL 33033-7600
(786) 243-8510
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A82400
CA
207P00000X
Emergency Medicine Physician
Primary
ME168525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A824000
—
CA
05
—
ME168525
—
FL
Enumeration date
05/23/2006
Last updated
10/23/2024
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