Individual
BEVERLY C POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5028 N DAVIS HWY, PENSACOLA, FL 32503-2345
(850) 494-0000
(850) 494-0001
Mailing address
2087 FOUNTAINVIEW DR, NAVARRE, FL 32566-4107
(850) 494-0000
(850) 494-0001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103114
FL
Other
Enumeration date
10/12/2006
Last updated
09/04/2007
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