Provider Demographics
NPI:1558670158
Name:JAMES P. BEARD D.C.P.A.
Entity Type:Organization
Organization Name:JAMES P. BEARD D.C.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC CORPERATION
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:D, CPA
Authorized Official - Phone:727-581-8888
Mailing Address - Street 1:1920 W BAY DR STE 1
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3022
Mailing Address - Country:US
Mailing Address - Phone:727-581-8888
Mailing Address - Fax:
Practice Address - Street 1:1920 W BAY DR STE 1
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3022
Practice Address - Country:US
Practice Address - Phone:727-581-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-29
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3257261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service