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Individual

DR. DONALD A BASEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
9410 FOUNTAIN MEDICAL CT UNIT A102, BONITA SPRINGS, FL 34135-4525
(239) 948-9600
(239) 948-9603
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 948-9603

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS7431
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
651066074
TAX ID
FL
Enumeration date
10/19/2006
Last updated
02/21/2025
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