Mirabeau-Beale, Kristina Leslie

Mirabeau-Beale, Kristina Leslie is an individual health care provider with primary practice located at 820 Goodlette Rd N , Naples FL 34102-5445. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Mirabeau-Beale, Kristina Leslie can be contacted via phone (239) 434-0166.

Contact Information

Primary practice address
820 Goodlette Rd N Naples FL 34102-5445
Phone: (239) 434-0166
Fax: (239) 434-7553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 244570 Massachusetts
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 253714 Massachusetts
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME124523 Florida

Profile Details

NPI number 1144540097
LBN Legal business name Mirabeau-Beale, Kristina Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2010
Last updated Nov 18th, 2016 - about 8 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 1144540097 NPPES
Florida Other 1256802 WELLCARE
Florida Other P972757 WELLCARE
Florida Other 4707733 WELLCARE
Florida Other 151A9 WELLCARE
Florida Other 384979 WELLCARE
Florida MEDICAID 015685200 WELLCARE
Florida Other P01550908 WELLCARE
Florida Other 3367095 WELLCARE
Florida Other P1037533 WELLCARE

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