| NPI | 1841220811 |
|---|---|
| Doing Business As | CGR BEACON CLINIC, PA |
| Entity Type | Organization |
| Authorized Contact | CHARLENE JOAN ROSENFIELD A RN P 941-629-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL ARNP2935382) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |