Individual
DONNA ELAINE BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5580 BEE RIDGE RD, BLDG B, SARASOTA, FL 34233-1505
(941) 724-0901
Mailing address
6316 DRAW LN, SARASOTA, FL 34238-5199
(941) 724-0901
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA36577
FL
Other
Enumeration date
08/03/2008
Last updated
08/03/2008
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