Organization Active NPI

Beach Health Center LLC

  • Physician Assistant
  • Bonita Springs, FL
National Provider Identifier
1720388754
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9104861 Issued in FL
Legal business name
BEACH HEALTH CENTER LLC
Practice address
16517 Vanderbilt Dr Ste 3
Bonita Springs, FL 34134-7550
Phone
(239) 765-6000
Fax
(239) 765-6008
NPI assigned
Oct 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Elizabeth Ulman, PA-CNPI 1568617710
Title
Managing Member
Phone
(239) 765-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA 9104861 FL Primary

Addresses

Primary practice location

16517 Vanderbilt Dr Ste 3
Bonita Springs, FL 34134-7550

Mailing address

6051 Estero Blvd
Fort Myers Beach, FL 33931-4348
Phone (239) 765-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101218000059 FL Part B Supplier - Clinic/Group Practice 9638367519 Receives reassigned benefits from 1 practitioner
Practice locations: Bonita Springs, FL

National Provider Directory

National Provider Directory

Locations

6051 Estero Blvd
Ste 1
Fort Myers Beach, FL 33931

6051 Estero Blvd
Ft Myers Bch, FL 33931
Phone (239) 765-6000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1720388754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 ESTERO BLVD",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314348",
            "telephone_number": "239-765-6000",
            "fax_number": "239-765-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16517 VANDERBILT DR STE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347550",
            "telephone_number": "239-765-6000",
            "fax_number": "239-765-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ULMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "239-765-6000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9104861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.