Provider Demographics
NPI:1790106516
Name:BEATTIE, CLAUDIA VERONICA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:VERONICA
Last Name:BEATTIE
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4260 CENTRAL AVENUE
Mailing Address - Street 2:
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711
Mailing Address - Country:US
Mailing Address - Phone:727-339-5496
Mailing Address - Fax:727-361-6247
Practice Address - Street 1:4260 CENTRAL AVENUE
Practice Address - Street 2:
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711
Practice Address - Country:US
Practice Address - Phone:727-339-5496
Practice Address - Fax:727-361-6247
Is Sole Proprietor?:No
Enumeration Date:2013-12-20
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9107687363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant