Colin S Beach, MD
Family Medicine in Tampa, FL. Individual provider (NPI-1).
NPI number1790737898
StatusActive
Last updated in NPPESAug 30, 2021
Details
- NPI
- 1790737898
- Entity type
- Individual (NPI-1)
- Name
- Colin S Beach
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2006
- Certification date
- Aug 30, 2021
- Last updated
- Aug 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME0062126 | FL | Yes |
Practice location
15285 Amberly DrTampa, FL 33647
Phone 813-979-6978 · Fax 813-975-0534
Mailing address
38135 Market SqZephyrhills, FL 33542-7505
Phone 813-528-4975
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