Individual
DR. CORNELL OVERBEEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1124 WILLOWOOD CIR, GULF BREEZE, FL 32563-3492
(865) 766-6870
Mailing address
2001 LAUREL AVE # N304, KNOXVILLE, TN 37916-1810
(865) 766-6870
(865) 766-0133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254638
NY
2085B0100X
Body Imaging Physician
036097433
IL
2085N0904X
Nuclear Radiology Physician
036097433
IL
2085P0229X
Pediatric Radiology Physician
036097433
IL
2085R0202X
Diagnostic Radiology Physician
036097433
IL
2085R0202X
Diagnostic Radiology Physician
Primary
43268
TN
2085R0203X
Therapeutic Radiology Physician
036097433
IL
2085R0204X
Vascular & Interventional Radiology Physician
036097433
IL
2085U0001X
Diagnostic Ultrasound Physician
036097433
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04515240
BLUE CROSS PROVIDER ID
IL
Enumeration date
09/22/2006
Last updated
07/22/2023
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