Jack E Beebe MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME20500 Issued in FL

Legal business name

JACK E BEEBE MD PA

Practice address

1665 Narnia CT
Dunedin, FL 34698-2923

Phone

(727) 734-6516

Fax

(727) 734-4516

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Jack E Beebe, MD PA

Title

Owner

Phone

(727) 734-6516

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1932386661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 NARNIA CT",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982923",
            "telephone_number": "727-734-6516",
            "fax_number": "727-734-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 NARNIA CT",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982923",
            "telephone_number": "727-734-6516",
            "fax_number": "727-734-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK E BEEBE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "BEEBE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-734-6516",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME20500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.