Provider Demographics
NPI:1003892910
Name:BEEBE, STEPHEN SMYTH (MD FACP)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:SMYTH
Last Name:BEEBE
Suffix:
Gender:M
Credentials:MD FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6440 W NEWBERRY RD
Mailing Address - Street 2:#402
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4381
Mailing Address - Country:US
Mailing Address - Phone:352-333-5500
Mailing Address - Fax:352-333-5506
Practice Address - Street 1:6440 W NEWBERRY RD
Practice Address - Street 2:#402
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4381
Practice Address - Country:US
Practice Address - Phone:352-333-5500
Practice Address - Fax:352-333-5506
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME819922080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H51226Medicare UPIN