Individual provider · NPI-1

Dr. Jeffrey Allen Beal, M.D.

Internal Medicine · Port Charlotte, FL

NPI number1053337501
StatusActive
Last updated in NPPESJan 14, 2013

Details

NPI
1053337501
Entity type
Individual (NPI-1)
Name
Dr. Jeffrey Allen Beal
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 15, 2006
Last updated
Jan 14, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME0051470FLYes

Practice location

1100 Loveland Blvd
Port Charlotte, FL 33980-1802

Phone 941-624-7200 · Fax 941-624-7274

Mailing address

1100 Loveland Blvd
Port Charlotte, FL 33980-1802

Phone 941-624-7200 · Fax 941-624-7274

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