MEDICARE: DR. JEFFREY STUART BEITLER MD

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	207X00000X	Orthopaedic Surgery Physician	ME30512	FL

General Provider Information

NPI Number	:	1932247145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY STUART BEITLER MD

Provider Business Mailing Address
First Line	:	333 LAS OLAS WAY
Second Line	:	SUITE 2504
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301
Country	:	US
Telephone Number	:	954-494-3737
Fax Number	:	800-952-7026

Provider Business Practice Location Address
First Line	:	333 LAS OLAS WAY
Second Line	:	SUITE 2504
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301
Country	:	US
Telephone Number	:	954-494-3737
Fax Number	:	800-952-7026

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	07/08/2007

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