Provider Demographics
NPI:1275580441
Name:LEJEUNE ORTHOPEDIC ASSOCIATES P A
Entity Type:Organization
Organization Name:LEJEUNE ORTHOPEDIC ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUPERTHUY-ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-649-2133
Mailing Address - Street 1:351 NW LEJEUNE RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5683
Mailing Address - Country:US
Mailing Address - Phone:305-649-2133
Mailing Address - Fax:305-644-9890
Practice Address - Street 1:351 NW LEJEUNE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5683
Practice Address - Country:US
Practice Address - Phone:305-649-2133
Practice Address - Fax:305-644-9890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250746300Medicaid
FL250746300Medicaid