Individual
DR. JEFFREY L BEATTIE
Active
Individual
DR. JEFFREY L BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN11558
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06818
WELLCARE WINTER PARK OFC
FL
01
—
190007440
RAILROAD MCARE WP OFC
FL
01
—
190007446
RAILROAD MCARE ORL OFC
FL
01
—
224944
WELLCARE LONGWOOD OFC
FL
01
—
224946
WELLCARE ORLANDO OFC
FL
01
—
850000180
RAILROAD MCARE LW OFC
FL
01
—
BCBS MEDICAL
69148
FL
Enumeration date
10/18/2005
Last updated
01/13/2010
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