| Beyond Geriatrics, Llc | |
|
1227 S Myrtle Ave Clearwater FL 33756-3469 | |
| (727) 939-6196 | |
| (727) 350-9396 |
| Full Name | Beyond Geriatrics, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1227 S Myrtle Ave, Clearwater, Florida |
| Authorized Official Name and Position | Kimberley D Evans (OWNER) |
| Authorized Official Contact | 7279396196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Geriatrics, Llc 1227 S Myrtle Ave Clearwater FL 33756-3469 Ph: (727) 939-6196 | Beyond Geriatrics, Llc 1227 S Myrtle Ave Clearwater FL 33756-3469 Ph: (727) 939-6196 |
| NPI Number | 1134539653 |
|---|---|
| Provider Enumeration Date | 05/06/2014 |
| Last Update Date | 09/04/2014 |
| Medicare PECOS PAC ID | 0345465787 |
|---|---|
| Medicare Enrollment ID | O20140627000982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134539653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberley D Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396840500 PECOS PAC ID: 0345375218 Enrollment ID: I20100317000552 |
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