Individual
JAVIER ALFONSO BAUTISTA
Active
Individual
JAVIER ALFONSO BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11008106
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11008106
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP11008106
FL
Other
Enumeration date
07/23/2020
Last updated
03/31/2026
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