Provider Demographics
NPI:1104843283
Name:BEQUER, NAPOLEON GUSTAVO (MD)
Entity Type:Individual
Prefix:
First Name:NAPOLEON
Middle Name:GUSTAVO
Last Name:BEQUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12955 PALMS WEST DR STE 200 BLDG 8
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-9217
Mailing Address - Country:US
Mailing Address - Phone:561-798-8973
Mailing Address - Fax:
Practice Address - Street 1:12955 PALMS WEST DR STE 200 BLDG 8
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-9217
Practice Address - Country:US
Practice Address - Phone:561-790-7744
Practice Address - Fax:561-790-7747
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME30982207Y00000X, 207YX0602X, 207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
No207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL30427Medicare ID - Type Unspecified
FLD53986Medicare UPIN