Individual
BERNARD R BEAUPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 W OAK AVE, PLANT CITY, FL 33563
(716) 447-6936
(716) 447-6937
Mailing address
816 15TH AVE NE, ST PETERSBURG, FL 33704-4804
(716) 507-3127
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
248678
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME136556
FL
Other
Enumeration date
05/21/2008
Last updated
11/19/2019
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