Individual
DR. JESSICA BATISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEMORIAL HOSPITAL WEST, 703 NORTH FLAMINGO ROAD, PEMBROKE PINES, FL 33028
(954) 844-7135
Mailing address
500 N HIATUS RD STE 200, PEMBROKE PINES, FL 33026-5213
(954) 437-4800
(954) 437-6628
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101254052
VA
2085R0202X
Diagnostic Radiology Physician
Primary
ME122220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132
CAREFIRST NCA BCBS
—
05
—
1487802740
—
VA
01
—
328554
KAISER
—
05
—
381006112
—
WV
01
—
75767
AMERIGROUP - INTOTAL HEALTH
VA
01
—
8845817
AETNA HMO
—
01
—
9174933
AETNA NON HMO
—
Enumeration date
08/28/2008
Last updated
04/19/2022
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