Mitchel Lee Beasley, D.O. Valid NPI

Individual provider · Family Medicine Physician · Venice, FL

NPI

1750645321

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

OS12825 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2012-06-28

Last updated

2015-07-02