Beard, Abigail S

Beard, Abigail S is an individual health care provider with primary practice located at 12901 Bruce B Downs Blvd Mdc 41, Tampa FL 33612-4742. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Beard, Abigail S can be contacted via phone (813) 259-8510.

Contact Information

Primary practice address
12901 Bruce B Downs Blvd Mdc 41 Tampa FL 33612-4742
Phone: (813) 259-8510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME133459 Florida

Profile Details

NPI number 1821355579
LBN Legal business name Beard, Abigail S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2012
Last updated Jul 31st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821355579 NPPES
Florida Other J26Y5 BLUE CROSS BLUE SHIELD
Florida MEDICAID 100774400 BLUE CROSS BLUE SHIELD

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