Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | 0101241607 | VA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | ME151270 | FL |
NPI | 1013119320 |
---|---|
Provider Name | Dr. Jennifer Beck Dean |
First Address | St Petersburg, FL 33701-4804 |
Second Address | St Petersburg, FL 33701-4804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 10/11/2021 |