# HEALTHDRIVE MEDICAL SERVICES SOUTHEAST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437930146
- **Authorized official:** DANIEL BAKER (PRESIDENT)
- **Authorized official phone:** (857) 255-0486

## Contact information

- **Practice address:** 6700 ALEXANDER BELL DR STE 200, COLUMBIA, MD 21046-2105
- **Practice address phone:** (888) 964-6681
- **Practice address fax:** (888) 662-0859
- **Mailing address:** 100 CROSSING BLVD STE 300, FRAMINGHAM, MA 01702-5555
- **Mailing address phone:** (617) 964-6681
- **Mailing address fax:** (339) 686-2561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 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