Individual
BEULAH DINAH AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2008
(352) 265-5911
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
ME148516
FL
207P00000X
Emergency Medicine Physician
ME148516
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110472300
—
FL
Enumeration date
07/16/2018
Last updated
08/15/2023
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