Provider Demographics
NPI:1164021895
Name:BEACHEL, BREEYON (PA-C)
Entity Type:Individual
Prefix:MR
First Name:BREEYON
Middle Name:
Last Name:BEACHEL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10023 S US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-5643
Mailing Address - Country:US
Mailing Address - Phone:772-398-5339
Mailing Address - Fax:772-337-2666
Practice Address - Street 1:10023 S US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5643
Practice Address - Country:US
Practice Address - Phone:772-398-5339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2021-08-13
Deactivation Date:
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Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant