Individual
MRS. EDITH E BAICKLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744
(727) 398-6661
(727) 319-1055
Mailing address
7804 CHARING CROSS WAY, PALMETTO, FL 34221-1536
(941) 531-4336
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340306
NY
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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