Individual provider · NPI-1

Michael A Beelman, ATC, CSCS

Technician, Other · Jacksonville, FL

NPI number1104963693
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1104963693
Entity type
Individual (NPI-1)
Name
Mr. Michael A Beelman
Credential
ATC, CSCS
Sex
Male
Sole proprietor
No
Enumeration date
Jan 31, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, OtherAL 2102FLYes

Practice location

1325 San Marco Blvd
Jacksonville, FL 33307

Phone 904-391-6805

Mailing address

8146 Summerside Circle
Jacksonville, FL 32256

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Other Technician, Other providers in Jacksonville, FL