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General NPI Number Information
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NPI Number | 1699814384
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Entity Type | Organization
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Legal Business Name | JEFFREY S BEITLER MD PA
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 333 LAS OLAS WAY SUITE 2504
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City | FT LAUDERDALE
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State | FL
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Zip | 33301-2363
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Country | US
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Telephone | 954-494-3737
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Fax | 800-952-7026
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Provider Business Mailing Address
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Address Line | 333 LAS OLAS WAY SUITE 2504
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City | FT LAUDERDALE
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State | FL
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Zip | 33301
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Country | US
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Telephone | 954-494-3737
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Fax | 800-952-7026
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY STUART BEITLER
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Credential | MD
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Telephone | 954-494-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME30512
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License Number State | FL
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