Provider Demographics
NPI:1497255145
Name:JUNQUEIRA, BEATRIZ LETICIA (MD)
Entity type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:LETICIA
Last Name:JUNQUEIRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:920 STANTON L YOUNG BLVD # WP3150
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5036
Mailing Address - Country:US
Mailing Address - Phone:405-271-6900
Mailing Address - Fax:
Practice Address - Street 1:501 LIVE OAK ST STE A
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-7300
Practice Address - Country:US
Practice Address - Phone:386-243-4856
Practice Address - Fax:386-231-6582
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK35928208800000X, 208800000X
FLME174130208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology