Individual
MR. JERRY L BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
NH PENSACOLA 6000 HWY 98, PENSACOLA, FL 32512-0001
(850) 452-9870
Mailing address
416 PEPPERTREE TER, PENSACOLA, FL 32506-6128
(702) 528-0077
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3798
FL
Other
Enumeration date
01/08/2007
Last updated
02/14/2017
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