Individual
DR. DANIEL ANTHONY BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7479 LAKE WORTH RD, LAKE WORTH, FL 33467-2530
(561) 965-4798
Mailing address
516 OSPREY DR, 15B, DELRAY BEACH, FL 33444-2038
(954) 512-7664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS47594
FL
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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