Organization
BEACON HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY HEINRICH PA-C (MANAGER)
(239) 799-7057
Entity
Organization
Contact information
Practice address
1656 MEDICAL BLVD STE 301, NAPLES, FL 34110-1423
(239) 593-6204
(239) 799-2131
Mailing address
1656 MEDICAL BLVD STE 301, NAPLES, FL 34110-1423
(239) 799-7057
(239) 799-2131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/01/2021
Last updated
11/15/2022
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