Shepherd Lee Beasley
Orthotic Fitter
2311 Santa Barbara Blvd Suite 105
Cape Coral
, Florida 33991-4394
Shepherd Lee Beasley
Orthotic Fitter
2311 Santa Barbara Blvd Suite 105
Cape Coral
, Florida 33991-4394
(239) 242-1095
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Shepherd Lee Beasley
- 2311 Santa Barbara Blvd Suite 105
- Cape Coral, FL
- Zip : 33991-4394
- Fax : (239) 242-1095
- Phone : (239) 458-3360
Second Address
- Shepherd Lee Beasley
- 2311 Santa Barbara Blvd Suite 105
- Cape Coral, FL
- Zip : 33991-4394
- Fax : (239) 242-1095
- Phone : (239) 458-3360
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | PED129 | FL |
National Provider Identifier
| NPI | 1518016492 |
|---|---|
| Provider Name | Shepherd Lee Beasley |
| First Address | Cape Coral, FL 33991-4394 |
| Second Address | Cape Coral, FL 33991-4394 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2007 |
| Last Update Date | 04/09/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.