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Organization
JOSE M. BAEZ, MD, LLC
Active
Organization
JOSE M. BAEZ, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MIGUEL BAEZ M.D. (MEMBER)
(239) 777-0663
Entity
Organization
Contact information
Practice address
11181 HEALTH PARK BLVD STE 1180, NAPLES, FL 34110-5734
(239) 777-0663
(239) 777-1296
Mailing address
11181 HEALTH PARK BLVD, SUITE 1180, NAPLES, FL 34110-5738
(239) 777-0663
(239) 777-1296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME110612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235218397
INDIVIDUAL NPI
—
Enumeration date
08/29/2016
Last updated
07/21/2022
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