Individual
DR. JEAN PIERRE BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6400 EDGELAKE DR, SARASOTA, FL 34240-8813
(281) 724-3050
Mailing address
1776 WOODSTEAD CT STE 208, THE WOODLANDS, TX 77380-1480
(281) 724-3050
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
1366821738
TN
208100000X
Physical Medicine & Rehabilitation Physician
35.139609
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME147849
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119136600
—
FL
Enumeration date
05/19/2015
Last updated
11/04/2025
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