Provider Demographics
NPI:1427858455
Name:BEAUPRE, ADAM DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:DAVID
Last Name:BEAUPRE
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 NW 40TH TER STE B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-3590
Mailing Address - Country:US
Mailing Address - Phone:352-332-1992
Mailing Address - Fax:352-414-5156
Practice Address - Street 1:2234 NW 40TH TER STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-3590
Practice Address - Country:US
Practice Address - Phone:352-332-1992
Practice Address - Fax:352-414-5156
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor