Individual provider · NPI-1

Adrian Alphonzo Beason Jr.

Case Manager/Care Coordinator · Plantation, FL

NPI number1104518729
StatusActive
Last updated in NPPESMay 23, 2023

Details

NPI
1104518729
Entity type
Individual (NPI-1)
Name
Mr. Adrian Alphonzo Beason Jr.
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2023
Certification date
May 12, 2023
Last updated
May 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care CoordinatorP186996FLYes

Practice location

Aetna Healthcare
261 N University Drive
Plantation, FL 33324

Phone 305-332-2507

Mailing address

7150 Venetian St
Miramar, FL 33023-2646

Phone 305-332-2507

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