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Organization
JOSE F BACA MD INC
Active
Organization
JOSE F BACA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE F BACA M.D. (DIRECTOR)
(305) 696-7557
Entity
Organization
Contact information
Practice address
777 E 25TH ST STE 509, HIALEAH, FL 33013-3834
(305) 696-7557
(305) 696-7469
Mailing address
777 E 25TH ST STE 509, HIALEAH, FL 33013-3834
(305) 696-7557
(305) 696-7469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME57517
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371253200
—
FL
Enumeration date
01/05/2011
Last updated
01/05/2011
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