Individual
LIDALEE SILVA BAUCAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 W OAK ST, LIDALEE.SILVA1@UPR.EDU, KISSIMMEE, FL 34741
(787) 758-2525
Mailing address
700 W OAK ST, LIDALEE.SILVA1@UPR.EDU, KISSIMMEE, FL 34741-3474
(787) 636-7832
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31331
FL
390200000X
Student in an Organized Health Care Education/Training Program
35658
PR
Other
Enumeration date
05/11/2018
Last updated
08/15/2025
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