Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack G. Beaulieu, MD

Individual provider Orthopaedic Surgery Physician · NPI 1528064086

Jack G. Beaulieu, MD is an Orthopaedic Surgery Physician in Cape Coral, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

657 Del Prado Blvd S
Cape Coral, FL 33990-2666
Phone: (239) 772-4484
Fax: (239) 772-2903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence ME 0029197 (FL)

Record details

NPI number1528064086
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESJuly 13, 2026
Mailing address657 Del Prado Blvd S, Cape Coral, FL 33990-2666

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