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Shepherd Lee Beasley, CPED
Orthotic Fitter in Cape Coral, Florida
NPI 1518016492

Shepherd Lee Beasley is a Orthotic Fitter based in Cape Coral, FL. Shepherd Lee Beasley practices in Cape Coral, FL and has the professional credentials of CPED. The NPI Number for Shepherd Lee Beasley is 1518016492 and holds a License No. PED129 (Florida).

The current practice location address for Shepherd Lee Beasley is 2311 Santa Barbara Blvd, Cape Coral, FL and can be reached out via phone at 239-458-3360 and via fax at 239-242-1095.

Location: 2311 Santa Barbara Blvd, Cape Coral, FL, 33991-4394
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518016492
Provider Name
Shepherd Lee Beasley
Credential
CPED
Provider Entity Type
Individual
Gender
Male
Address
2311 Santa Barbara Blvd, Cape Coral, FL, 33991-4394
Phone Number
239-458-3360
Fax Number
239-242-1095
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2311 Santa Barbara Blvd
City
Cape Coral
State
Florida
Zip
33991-4394
Phone Number
239-458-3360
Fax Number
239-242-1095
person
Provider Business Mailing Address Details
Address
2311 Santa Barbara Blvd
City
Cape Coral
State
Florida
Zip
33991-4394
Phone Number
239-458-3360
Fax Number
239-242-1095
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
PED129 (Florida)
Definition
An individual trained in the management of fitting prefabricated orthoses.
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