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Organization
HEALTHDRIVE MEDICAL SERVICES SOUTHEAST LLC
Active
Organization
HEALTHDRIVE MEDICAL SERVICES SOUTHEAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BAKER (PRESIDENT)
(857) 255-0486
Entity
Organization
Contact information
Practice address
6700 ALEXANDER BELL DR STE 200, COLUMBIA, MD 21046-2105
(888) 964-6681
(888) 662-0859
Mailing address
100 CROSSING BLVD STE 300, FRAMINGHAM, MA 01702-5555
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/09/2023
Last updated
08/01/2025
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