Individual
JANMARY BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2893 ENTERPRISE RD, SUITE 100, DEBARY, FL 32713-2784
(386) 789-8600
(386) 789-0219
Mailing address
2600 LAKE LUCIEN DR, SUITE 180, MAITLAND, FL 32751-7233
(407) 875-2080
(407) 875-0518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105755
FL
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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