Individual
ESTEBAN BAUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10050 SW INNOVATION WAY, SUITE 102, PORT ST. LUCIE, FL 34987
(772) 223-5945
Mailing address
10050 SW INNOVATION WAY, SUITE 102, PORT ST. LUCIE, FL 34987
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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