Organization
DONALD A BASEMAN P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE HAAS (BILLING MANAGER)
(239) 274-5004
Entity
Organization
Contact information
Practice address
9410 FOUNTAIN MEDICAL CT, #A102, BONITA SPRINGS, FL 34135-4525
(239) 948-9600
(239) 274-5007
Mailing address
9410 FOUNTAIN MEDICAL CT, #A102, BONITA SPRINGS, FL 34135-4525
(239) 948-9600
(239) 274-5007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS0007431
FL
Other
Enumeration date
12/06/2007
Last updated
12/19/2007
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