Provider Demographics
NPI:1598274862
Name:BEEKHUIZEN, ISABELLE (PA-C)
Entity Type:Individual
Prefix:
First Name:ISABELLE
Middle Name:
Last Name:BEEKHUIZEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 S PINE ISLAND RD STE 800
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3923
Mailing Address - Country:US
Mailing Address - Phone:954-962-9022
Mailing Address - Fax:954-966-3616
Practice Address - Street 1:3950 N 46TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-1726
Practice Address - Country:US
Practice Address - Phone:954-962-9022
Practice Address - Fax:954-966-3616
Is Sole Proprietor?:No
Enumeration Date:2017-09-29
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1144401207Q00000X
FLPA9110811363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine