Beacon Advanced Practice Group LLC
NPI #1114881877 in St Augustine, Florida
Provider Information
- NPI Number
- 1114881877
- Entity Type
- Organization
- Organization Name
- Beacon Advanced Practice Group LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Dec 16, 2025
- Last Updated
- Dec 16, 2025
Practice Location
- Address
- 335 TAMAR CT
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32095-7539
- Phone
- (904) 366-9981
Authorized Official
- Name
- IRINA VELLA, APRN, FNP-BC, WCC
- Title
- OWNER / AUTHORIZED OFFICIAL
- Phone
- (904) 366-9981
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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