Shepherd Lee Beasley in Cape Coral - Orthotic Fitter

Shepherd Lee Beasley - NPI 1518016492

Shepherd Lee Beasley is a Orthotic Fitter in Cape Coral, Florida. Shepherd Lee Beasley practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for Shepherd Lee Beasley is 1518016492. The last update date is 2007-09-04.

Shepherd Lee Beasley's current location address is 2311 Santa Barbara Blvd, Cape Coral, Florida. You can contact this provider via phone number 2394583360 and fax number 2392421095. The mailing address for Shepherd Lee Beasley is 2311 Santa Barbara Blvd, Cape Coral, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Shepherd Lee Beasley
Address 2311 Santa Barbara Blvd, Cape Coral, Florida
Phone Number 2394583360
Fax Number 2392421095
Sole Proprietor N
Credentials C.PED

NPI Number Detail

NPI Number 1518016492
Provider Enumeration Date 2007-01-09
Last Updated Date 2007-09-04

Provider Mailing Address Detail

Address 2311 Santa Barbara Blvd
City Cape Coral
State Florida (FL)
Post Code 339914394
Phone Number 2394583360
Fax Number 2392421095

Provider's Primary Taxonomy Detail

Speciality Orthotic Fitter
Taxonomy 225000000X
Licence No PED129
Definition:
An individual trained in the management of fitting prefabricated orthoses.

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FAQs about Shepherd Lee Beasley

What is the unique provider identifier assigned to Shepherd Lee Beasley?

The Shepherd Lee Beasley has been issued the NPI (National Provider Identifier) 1518016492 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Shepherd Lee Beasley is physically located?

The Shepherd Lee Beasley is situated at the following address: 2311 Santa Barbara Blvd, Cape Coral, FL 339914394.

What is Shepherd Lee Beasley's area of expertise and its corresponding taxonomy classification?

The Shepherd Lee Beasley's field of specialization is Orthotic Fitter, and it falls under the taxonomy code 225000000X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1518016492 assigned to Shepherd Lee Beasley?

The Shepherd Lee Beasley was issued its 1518016492 on 2007-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Shepherd Lee Beasley most recently updated?

The details pertaining to the Shepherd Lee Beasley, including its address, specialty, and other relevant information, were last refreshed on 2007-09-04.

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