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Individual
MR. IVAN BAEZ
Active
Individual
MR. IVAN BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57497
CA
363A00000X
Physician Assistant
PA 9108132
FL
Other
Enumeration date
11/15/2011
Last updated
05/27/2026
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