Individual
JAMES BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 E PRINCETON ST, SUITE 540, ORLANDO, FL 32803-1456
(407) 236-0006
(407) 236-0007
Mailing address
615 E PRINCETON ST, SUITE 540, ORLANDO, FL 32803-1456
(407) 236-0006
(407) 236-0007
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
J2492
TX
207T00000X
Neurological Surgery Physician
Primary
ME110809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003974300
—
FL
01
—
100059870A
OKLAHOMA MEDICAID
OK
05
—
138323414
—
TX
01
—
138323415
CSHCN MEDICAID
TX
01
—
14J12
BCBS
FL
01
—
8W5624
BCBS
TX
Enumeration date
07/07/2006
Last updated
07/31/2013
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