| Beall & Associates Inc. | |
|
961687 Gateway Blvd Suite 201 N Fernandina Beach FL 32034-9157 | |
| (904) 277-8999 | |
| Not Available |
| Full Name | Beall & Associates Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 961687 Gateway Blvd, Fernandina Beach, Florida |
| Authorized Official Name and Position | Byron Frank Beall (PRESIDENT) |
| Authorized Official Contact | 9045562169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beall & Associates Inc. Po Box 16837 Fernandina Beach FL 32035-3131 Ph: (904) 556-2169 | Beall & Associates Inc. 961687 Gateway Blvd Suite 201 N Fernandina Beach FL 32034-9157 Ph: (904) 277-8999 |
| NPI Number | 1902135486 |
|---|---|
| Provider Enumeration Date | 12/14/2009 |
| Last Update Date | 05/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902135486 | NPI | - | NPPES |
| 692499996 | Medicaid | FL | |
| 692499998 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW 5260 (Florida) | Primary |
| 251S00000X | Community/behavioral Health | BCBA 1010451 (Florida) | Secondary |
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