Provider Demographics
NPI:1447222047
Name:BEAUPERTHUY, GILBERT D (DO)
Entity type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:D
Last Name:BEAUPERTHUY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 NW LEJEUNE RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5683
Mailing Address - Country:US
Mailing Address - Phone:305-649-2133
Mailing Address - Fax:305-642-7184
Practice Address - Street 1:351 NW LEJEUNE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5683
Practice Address - Country:US
Practice Address - Phone:305-649-2133
Practice Address - Fax:305-642-7184
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7159207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251939900Medicaid
FL57427Medicare ID - Type UnspecifiedMEDICARE