Dr. Susan Carol Beaven, MD

Family Medicine in Saint Petersburg, FL. Individual provider (NPI-1).

NPI number1780908376

StatusActive

Last updated in NPPESJul 12, 2010

Details

NPI: 1780908376
Entity type: Individual (NPI-1)
Name: Dr. Susan Carol Beaven
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Mar 25, 2010
Last updated: Jul 12, 2010

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	ME42386	FL	Yes

Practice location

5088 66th Street North
Saint Petersburg, FL 33709

Phone 727-541-2675 · Fax 727-541-3956

Mailing address

5088 66th Street North
Saint Petersburg, FL 33709

Phone 727-541-2675 · Fax 727-541-3956

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Saint Petersburg, FL

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