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Deactivated NPI 1649365305 Deactivated / Inactive NPI Female Practitioner

Marjory Beaucliche , PA

Physician Assistant • Fleming Island, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marjory Beaucliche has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2006
NPI Deactivation Date January 17, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Marjory Beaucliche, PA was a registered Physician Assistant practicing in Fleming Island, FL. Throughout an active medical career spanning 16 years, Marjory Beaucliche provided care at the practice location at 1859 SEA PINES LN until profile deactivation on 2022-01-17.

Practice Location & Contact Primary Location

Practice Address

1859 Sea Pines Ln

Fleming Island, FL 320038365

Telephone 9042154481
Fax 9042649750

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fleming Island, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Fleming Island, FL (10376 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA2937

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Annabelle Matias , MD

Internal Medicine

NPI 1194709725

Doctor of Medicine (M.D.)

Dr. John Flinchbaugh , DO

Orthopaedic Surgery

NPI 1205163615

Doctor of Osteopathic Medicine (D.O.)

Dr. Naja Naddaf , MD

Internal Medicine

NPI 1255315875

Doctor of Medicine (M.D.)

Dr. Rasheed Awan , DO

Internal Medicine

NPI 1326022948

Doctor of Osteopathic Medicine (D.O.)

Dennis Obrien , PA

Physician Assistant - Medical

NPI 1326260423

Physician Assistant

Stephanie Wilder , PA-C

Physician Assistant - Medical

NPI 1508093873

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 17, 2022

Record deactivated on January 17, 2022

NPI Profile Active July 23, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 23, 2010

Registered at 1859 SEA PINES LN, FLEMING ISLAND, FL 320038365 (Tel: 9042154481)

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Updated Business Mailing Address July 23, 2010

Registered at 1859 SEA PINES LN, FLEMING ISLAND, FL 320038365 (Tel: 9042154481)

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Provider Name / Credentials Updated July 23, 2010

Recorded as MARJORY BEAUCLICHE, P.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2010

Physician Assistant (License #PA2937 in FL)

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Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649365305
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 23, 2010
Deactivation Date: January 17, 2022

Mailing Address

1859 Sea Pines Ln

Fleming Island, FL 320038365

Phone: 9042154481

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.