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Individual

ANTHONY MANUEL BAUDANZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
16110 JOG RD, DELRAY BEACH, FL 33446-2350
(561) 265-5549
Mailing address
4879 LOMBARD PASS DR, LAKE WORTH, FL 33463-7467
(561) 315-4567

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1992
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
FL
Enumeration date
01/08/2016
Last updated
01/08/2016
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