Individual
DR. JEFFREY L BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1573 W FAIRBANKS AVE, SUITE 300, WINTER PARK, FL 32789-4679
(407) 644-0224
(407) 644-2827
Mailing address
1573 W FAIRBANKS AVE, SUITE 300, WINTER PARK, FL 32789-4679
(407) 644-0224
(407) 644-2827
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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