Individual
ANGELA SHAAK BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4415 NW 143RD ST, GAINESVILLE, FL 32606-3408
(352) 262-6022
(352) 333-3151
Mailing address
4415 NW 143RD ST, GAINESVILLE, FL 32606-3408
(352) 262-6022
(352) 333-3151
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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