NPI 1518016492

Shepherd Lee Beasley, CPED

Practitioner Orthotic Fitter Cape Coral, FL

Practice location

Address: 2311 Santa Barbara Blvd Suite 105, Cape Coral, FL 33991-4394
Phone: (239) 458-3360
Fax: (239) 242-1095

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence PED129 (FL)

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Registry record

NPI: 1518016492
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2007
Record last updated: 4 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.