MEDICARE: DR. GERALD WILLIAM BEINHAUER JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME99940	FL

General Provider Information

NPI Number	:	1699869164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD WILLIAM BEINHAUER JR. M.D.

Provider Business Mailing Address
First Line	:	13510 CARRYBACK DR
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-6277
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13510 CARRYBACK DR
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-6277
Country	:	US
Telephone Number	:	352-666-8089
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	01/05/2026

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