Organization
BECKHAM'S HOLDINGS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY BECKHAM OD (OWNER/CEO)
(904) 261-4425
Entity
Organization
Contact information
Practice address
463688 FL-200, SUITE 9, YULEE, FL 32097
(904) 261-4425
(904) 875-5072
Mailing address
PO BOX 16445, FERNANDINA, FL 32035-3125
(904) 261-4425
(904) 875-5072
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427120005
—
FL
Enumeration date
11/08/2019
Last updated
11/08/2019
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