Jack G. Beaulieu, M.D.
Orthopaedic Surgery in Cape Coral, FL. Individual provider (NPI-1).
NPI number1528064086
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1528064086
- Entity type
- Individual (NPI-1)
- Name
- Jack G. Beaulieu
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | ME 0029197 | FL | Yes |
Practice location
657 Del Prado Blvd SCape Coral, FL 33990-2666
Phone 239-772-4484 · Fax 239-772-2903
Mailing address
657 Del Prado Blvd SCape Coral, FL 33990-2666
Phone 239-772-4484 · Fax 239-772-2903
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