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Individual

CARRIE FIRESTONE BAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MPH

Contact information

Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
203308
LA
208000000X
Pediatrics Physician
253681
NY
2080P0206X
Pediatric Gastroenterology Physician
MD.203308
LA
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME135061
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08305294
MS
05
1883743
LA
Enumeration date
06/23/2009
Last updated
03/17/2018
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