Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH 6956 | FL |
N | 111NN1001X | Nutrition | CH6956 | FL |
NPI | 1194060376 |
---|---|
Provider Name | Dr. Betsy Faith Meshbesher |
First Address | Clearwater, FL 33765-1027 |
Second Address | Clearwater, FL 33765-1027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2012 |
Last Update Date | 19/12/2019 |