Provider Demographics
NPI:1851697486
Name:BEAUZILE, GARRY JF (MD)
Entity Type:Individual
Prefix:DR
First Name:GARRY
Middle Name:JF
Last Name:BEAUZILE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3228 GUN CLUB RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-3001
Mailing Address - Country:US
Mailing Address - Phone:561-688-4673
Mailing Address - Fax:561-688-4671
Practice Address - Street 1:3228 GUN CLUB RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-3001
Practice Address - Country:US
Practice Address - Phone:561-688-4673
Practice Address - Fax:561-688-4671
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-29
Last Update Date:2011-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME91790207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine