Cazenave, Bethany A
Cazenave, Bethany A is an individual health care provider with primary practice located at 1000 Mar Walt Dr , Fort Walton Beach FL 32547-6708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Cazenave, Bethany A can be contacted via phone (614) 210-1885.Contact Information
Primary practice address
1000 Mar Walt Dr
Fort Walton Beach FL 32547-6708
Phone: (614) 210-1885
Fax: (614) 210-1886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME92977 | Florida |
Profile Details
| NPI number | 1164493235 |
|---|---|
| LBN Legal business name | Cazenave, Bethany A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Mar 20th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164493235 | NPPES |
| Alabama | MEDICAID | 106360 | |
| Alabama | Other | 03532 | |
| Alabama | MEDICAID | 110572 | |
| Alabama | MEDICAID | 106359 | |
| Alabama | MEDICAID | 107075 | |
| Alabama | MEDICAID | 272792700 |
Popular Providers
-
Hilborn, Mark
13813 Metro Pkwy , Fort Myers FL 33912-4343 -
Zekan, Thomas J
13813 Metro Pkwy , Fort Myers FL 33912-4343 -
Mccuskey, William Hanes
3680 Broadway , Fort Myers FL 33901-8005 -
Brobeck, Bradley R
1000 Mar Walt Dr , Fort Walton Beach FL 32547-6708 -
Perrott, Walter William
1000 Mar Walt Dr , Fort Walton Beach FL 32547-6708 -
Amatulle, Philip
3680 Broadway , Fort Myers FL 33901-8005 -
Theobald, Michael R
14551 Hope Center Loop Ste 100 , Fort Myers FL 33912-4705 -
Jones, Vincent Thomas
1005 Mar Walt Drive Radiology Department, Fort Walton Beach FL 32547-6796