Individual
ALLISON BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 843-9792
Mailing address
83 W MILLER ST, ORLANDO, FL 32806-2031
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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