Provider Demographics
NPI:1699869164
Name:BEINHAUER, GERALD WILLIAM JR (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:WILLIAM
Last Name:BEINHAUER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3522
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34611
Mailing Address - Country:US
Mailing Address - Phone:352-666-8089
Mailing Address - Fax:352-666-6645
Practice Address - Street 1:11120 LIBBY RD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-2454
Practice Address - Country:US
Practice Address - Phone:352-666-8089
Practice Address - Fax:352-666-6645
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME99940208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist