Individual provider · NPI-1

Jonas Beauge

Home Health Aide · Port St Lucie, FL

NPI number1447800495
StatusActive
Last updated in NPPESSep 11, 2019

Details

NPI
1447800495
Entity type
Individual (NPI-1)
Name
Jonas Beauge
Sex
Male
Sole proprietor
No
Enumeration date
Sep 11, 2019
Last updated
Sep 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide236167FLYes

Practice location

1607 Se Walton Lakes Dr
Port St Lucie, FL 34952-5107

Phone 954-260-6483

Mailing address

1607 Se Walton Lakes Dr
Port St Lucie, FL 34952-5107

Phone 954-260-6483

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