Beard, Alice G

Beard, Alice G is an individual health care provider with primary practice located at 105 Southpark Blvd A103, St Augustine FL 32086-5191. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Beard, Alice G can be contacted via phone (904) 342-7765.

Contact Information

Primary practice address
105 Southpark Blvd A103 St Augustine FL 32086-5191
Phone: (904) 342-7765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9102083 Florida

Profile Details

NPI number 1164532552
LBN Legal business name Beard, Alice G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 28th, 2013 - about 11 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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