| Beth Shubert, Pa | |
|
2630 Nw 41st St Ste A Gainesville FL 32606-6666 | |
| (352) 373-7715 | |
| (352) 372-0016 |
| Full Name | Beth Shubert, Pa |
|---|---|
| Speciality | Social Worker |
| Location | 2630 Nw 41st St Ste A, Gainesville, Florida |
| Authorized Official Name and Position | Beth Shubert (PRESIDENT) |
| Authorized Official Contact | 3523737715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Shubert, Pa 2630 Nw 41st St Ste A Gainesville FL 32606-6666 Ph: (352) 373-7715 | Beth Shubert, Pa 2630 Nw 41st St Ste A Gainesville FL 32606-6666 Ph: (352) 373-7715 |
| NPI Number | 1538430822 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 01/19/2012 |
| Medicare PECOS PAC ID | 3779744891 |
|---|---|
| Medicare Enrollment ID | O20120418000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538430822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW1750 (Florida) | Primary |
| Provider Name | Beth C Shubert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285769570 PECOS PAC ID: 7113188236 Enrollment ID: I20120418000042 |
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