Individual
DAVID BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 932-4163
Mailing address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 932-4163
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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