Provider Demographics
NPI:1679444947
Name:BEASLEY, FAITH SILVERMAN
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:SILVERMAN
Last Name:BEASLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3344 HOLLYHOCK CT
Mailing Address - Street 2:
Mailing Address - City:BELLE ISLE
Mailing Address - State:FL
Mailing Address - Zip Code:32812-2105
Mailing Address - Country:US
Mailing Address - Phone:407-247-7326
Mailing Address - Fax:
Practice Address - Street 1:3344 HOLLYHOCK CT
Practice Address - Street 2:
Practice Address - City:BELLE ISLE
Practice Address - State:FL
Practice Address - Zip Code:32812-2105
Practice Address - Country:US
Practice Address - Phone:407-247-7326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9120694363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant