Beerepoot, Lucas Jurgen

Beerepoot, Lucas Jurgen is an individual health care provider with primary practice located at 6800 Nw 9Th Blvd Ste 2 , Gainesville FL 32605-4253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Beerepoot, Lucas Jurgen can be contacted via phone (352) 478-4700.

Contact Information

Primary practice address
6800 Nw 9Th Blvd Ste 2 Gainesville FL 32605-4253
Phone: (352) 478-4700
Fax: (352) 225-3399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME111124 Florida

Profile Details

NPI number 1093906455
LBN Legal business name Beerepoot, Lucas Jurgen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Oct 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093906455 NPPES
Florida MEDICAID 004459500

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