Individual
MISS ABIGAIL S BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC 41, TAMPA, FL 33612-4742
(813) 259-8510
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME133459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774400
—
FL
01
—
J26Y5
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/19/2012
Last updated
07/31/2019
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