Individual
DR. G RICHARD BAISE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1428 S TAMIAMI TRL, SARASOTA, FL 34239-2901
(941) 957-4987
(941) 955-7905
Mailing address
1428 S TAMIAMI TRL, SARASOTA, FL 34239-2901
(941) 957-4987
(941) 955-7905
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0017737
FL
Other
Enumeration date
10/19/2005
Last updated
07/08/2007
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