Jill Rae Beauregard in Fort Myers - Medical
Jill Rae Beauregard - NPI 1568546596
Jill Rae Beauregard is a Medical in Fort Myers, Florida. Jill Rae Beauregard practices all healthcare services and medical treatments related to Medical. The NPI Number for Jill Rae Beauregard is 1568546596. The last update date is 2022-01-12.
Jill Rae Beauregard's current location address is Po Box 2147, Fort Myers, Florida. You can contact this provider via phone number 2393436350 and fax number 2393436358. The mailing address for Jill Rae Beauregard is Po Box 2147, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Rae Beauregard |
|---|---|
| Address | Po Box 2147, Fort Myers, Florida |
| Phone Number | 2393436350 |
| Fax Number | 2393436358 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1568546596 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2022-01-12 |
Provider Mailing Address Detail
| Address | Po Box 2147 |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339022147 |
| Phone Number | 2393436350 |
| Fax Number | 2393436358 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1444 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4336423 | TN | BLUE CROSS/BLUE SHIELD | |
| 102132900 | FL | -- | |
| P01155340 | TN | RR MEDICARE | |
| 3664999 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jill Rae Beauregard?
The Jill Rae Beauregard has been issued the NPI (National Provider Identifier) 1568546596 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 Jill Rae Beauregard?
The Jill Rae Beauregard is situated at Po Box 2147, in the city of Fort Myers, state of FL, with the zip code 339022147.
What is the Jill Rae Beauregard's area of specialization and corresponding taxonomy classification?
The Jill Rae Beauregard's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
When was the Jill Rae Beauregard's 1568546596 issued?
The Jill Rae Beauregard's 1568546596 was issued on 2006-10-25.
As of what date was the information regarding Jill Rae Beauregard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jill Rae Beauregard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-12.
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