Healthcare Provider Details

I. General information

NPI: 1104843283
Provider Name (Legal Business Name): NAPOLEON GUSTAVO BEQUER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 12/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12955 PALMS WEST DR STE 200 BLDG 8
LOXAHATCHEE FL
33470-9217
US

IV. Provider business mailing address

12955 PALMS WEST DR STE 200 BLDG 8
LOXAHATCHEE FL
33470-9217
US

V. Phone/Fax

Practice location:
  • Phone: 561-790-7744
  • Fax: 561-790-7747
Mailing address:
  • Phone: 561-798-8973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME30982
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License NumberME30982
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License NumberME30982
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: