Individual
DR. STACY GUREVITZ BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-2251
Mailing address
PO BOX 100275, GAINESVILLE, FL 32610-0275
(352) 265-0680
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
P2254
TX
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
ME120323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012660400
—
FL
Enumeration date
07/16/2009
Last updated
08/10/2022
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