Ryan Beadle in Venice - Physician Assistant

Ryan Beadle - NPI 1073525655

Ryan Beadle is a Physician Assistant in Venice, Florida. Ryan Beadle practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ryan Beadle is 1073525655. The last update date is 2015-05-26.

Ryan Beadle's current location address is 21550 Angela Ln, Venice, Florida. You can contact this provider via phone number 9414937400 and fax number 9414931940. The mailing address for Ryan Beadle is 21550 Angela Ln, Venice, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Ryan Beadle
Address 21550 Angela Ln, Venice, Florida
Phone Number 9414937400
Fax Number 9414931940
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1073525655
Provider Enumeration Date 2006-08-12
Last Updated Date 2015-05-26

Provider Mailing Address Detail

Address 21550 Angela Ln
City Venice
State Florida (FL)
Post Code 342932017
Phone Number 9414937400
Fax Number 9414931940

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA9102079
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Ryan Beadle

What is the unique provider identifier assigned to Ryan Beadle?

The Ryan Beadle has been issued the NPI (National Provider Identifier) 1073525655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Ryan Beadle?

The Ryan Beadle is situated at 21550 Angela Ln, in the city of Venice, state of FL, with the zip code 342932017.

What is Ryan Beadle's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ryan Beadle's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Ryan Beadle receive its 1073525655 assignment from the Centers for Medicare & Medicaid Services?

The Ryan Beadle was assigned its 1073525655 by the Centers for Medicare & Medicaid Services on 2006-08-12.

As of what date were the details pertaining to Ryan Beadle last refreshed?

The information related to the Ryan Beadle, including its address, specialty, and other relevant details, was last updated on 2015-05-26.

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