Beerbower, Nolan

Beerbower, Nolan is an individual health care provider with primary practice located at 17000 Porter Rd Ste 205 , Winter Garden FL 34787-8915. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Beerbower, Nolan can be contacted via phone (321) 843-5851.

Contact Information

Primary practice address
17000 Porter Rd Ste 205 Winter Garden FL 34787-8915
Phone: (321) 843-5851
Fax: (321) 842-0460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9110095 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9110095 Florida

Profile Details

NPI number 1780129965
LBN Legal business name Beerbower, Nolan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2016
Last updated Jul 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780129965 NPPES
Florida MEDICAID 019925700

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