Michelle G Beasley, MD
Pediatrics in Pensacola, FL. Individual provider (NPI-1).
NPI number1811079908
StatusActive
Last updated in NPPESSep 12, 2011
Details
- NPI
- 1811079908
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michelle G Beasley
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Sep 12, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | ME82008 | FL | Yes |
Practice location
4951 Grande DrPensacola, FL 32504-8965
Phone 850-473-0100 · Fax 850-473-0500
Mailing address
4951 Grande DrPensacola, FL 32504-8965
Phone 850-473-0100 · Fax 850-473-0500
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