Individual
GERIDONE BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3780 SE 95TH ST, OCALA, FL 34480-8062
(352) 347-4367
Mailing address
3780 SE 95TH ST, OCALA, FL 34480-8062
(352) 347-4367
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5170551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19691971
—
FL
Enumeration date
11/16/2006
Last updated
07/08/2007
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