Maria Judith Storer Beauchamp, CST
Individual provider Active NPI Surgical Technologist · Altamonte SPG, FL
NPI 1104356526 · NPPES record last updated Jun 18, 2017
Key facts
- NPI
- 1104356526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Technologist 246ZS0410X
- License
- 143194 (FL)
- Practice address
- 714 Jamestown Blvd Apt 2271
Altamonte SPG, FL 32714-4691 - Phone
- (954) 851-5417
- Fax
- (954) 851-5417
- NPI assigned
- Jun 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143194 | FL | MD | Surgical Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 143194 | FL | Yes |
Addresses
Primary practice location
714 Jamestown Blvd Apt 2271
Altamonte SPG, FL 32714-4691
Mailing address
714 Jamestown Blvd Apt 2271
Altamonte Springs, FL 32714-4691
Phone (954) 851-5417
Other providers in Altamonte SPG, FL
- Robbie Phillips
- Tyler William Pickell
- Yacumb Prather
- Ana Saavedra
- Solution Health Specialists LLC
- Generose Hipos Tadle
- Victoria Angela Tonno
- Eylisa M Toro
- Kathleen Vahey
- Phoenix Mae Varela
All providers in Altamonte SPG, FL · Surgical Technologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.