Most Relevant Information
Provider Data
| NPI Number: | 1003659640 |
| Provider Name: | ATASHA BEAUFORT |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: | 23878 |
Most Important Dates
| Enumeration Date: | 06/13/2024 |
| Last Updated: | 06/13/2024 |
Provider Practice Location
2966 BRITTANY BLUFF DR
ORANGE PARK
FL
320731634
Practice Location Phone/Fax
| Phone: | 9043307571 |
| Fax: |
Provider Mailing Location
2966 BRITTANY BLUFF DR
ORANGE PARK
FL
320731634
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |