Healthcare Provider Details

I. General information

NPI: 1275628562
Provider Name (Legal Business Name): BETSY B BEERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 NW 76 DRIVE SUITE A
GAINESVILLE FL
32607
US

IV. Provider business mailing address

350 NW 76 DRIVE SUITE A
GAINESVILLE FL
32607
US

V. Phone/Fax

Practice location:
  • Phone: 352-332-4051
  • Fax: 352-332-2966
Mailing address:
  • Phone: 352-332-4051
  • Fax: 352-332-2966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number30399
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME 0061199
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberME 0061199
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number30399
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: