National Provider Identifier Database

LAURA N BEVERLY, MD – NPI #1235189861
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

LAURA N BEVERLY, MD
1522 PENMAN RD.
JACKSONVILLE BEACH, FL32250
Phone: 904-253-2555
Fax: 904-270-2559
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for LAURA N BEVERLY

NPI Number 1235189861
Credentials MD
Entity Individual
Enumeration date 05/12/2006
Last updated 01/02/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME59866
  • FL Medicaid: 3740781-01
  • FL Medicaid: 374078101
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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