Most Relevant Information
Provider Data
NPI Number: | 1003068214 |
Provider Name: | LEANDER JOSTIN BEAMS |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 11035096 |
Most Important Dates
Enumeration Date: | 10/21/2008 |
Last Updated: | 11/08/2024 |
Provider Practice Location
45 MCLEOD ST
MERRITT ISLAND
FL
329533523
Practice Location Phone/Fax
Phone: | 3214522016 |
Fax: |
Provider Mailing Location
3100 LANDINGS CIR APT 304
ORLANDO
FL
328240018
Provider Mailing Phone/Fax
Phone: | 6192517696 |
Fax: |