Provider Demographics
NPI:1861465171
Name:BEAUVIL, PEREZ (MD)
Entity Type:Individual
Prefix:
First Name:PEREZ
Middle Name:
Last Name:BEAUVIL
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 1:2151 45TH ST
Mailing Address - Street 2:#210
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2026
Mailing Address - Country:US
Mailing Address - Phone:561-844-6005
Mailing Address - Fax:561-844-0056
Practice Address - Street 1:2151 45TH ST
Practice Address - Street 2:#210
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2026
Practice Address - Country:US
Practice Address - Phone:561-844-6005
Practice Address - Fax:561-844-0056
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME705462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
32518AMedicare ID - Type UnspecifiedMEDICARE
FLF93668Medicare UPIN