Most Relevant Information
Provider Data
| NPI Number: | 1003224122 |
| Provider Name: | STACY BEYER PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | PTA25117 |
Most Important Dates
| Enumeration Date: | 08/01/2014 |
| Last Updated: | 08/01/2014 |
Provider Practice Location
172 MEADOWLARK DR
ROYAL PALM BEACH
FL
334112969
Practice Location Phone/Fax
| Phone: | 5618897849 |
| Fax: |
Provider Mailing Location
172 MEADOWLARK DR
ROYAL PALM BEACH
FL
334112969
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |