Individual
BEAUVAIS LAGUERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1095 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1719
(772) 785-5505
(772) 785-5582
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5665
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME43985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069704400
—
FL
Enumeration date
07/17/2006
Last updated
01/30/2014
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