Dickerson, Beth Ann

Dickerson, Beth Ann is an individual health care provider with primary practice located at 699 W Cocoa Beach Cswy Ste 503 , Cocoa Beach FL 32931-3562. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dickerson, Beth Ann can be contacted via phone (321) 434-6650.

Contact Information

Primary practice address
699 W Cocoa Beach Cswy Ste 503 Cocoa Beach FL 32931-3562
Phone: (321) 434-6650
Fax: (321) 434-5864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11033366 Florida

Profile Details

NPI number 1073356283
LBN Legal business name Dickerson, Beth Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2024
Last updated Jun 29th, 2026 - about 5 months 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 1073356283 NPPES
Florida MEDICAID 123066100
Florida Other XA951

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