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Organization

MARY JO BAIZE OD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY JO BAIZE OD (OWNER)
(941) 923-8181
Entity
Organization

Contact information

Practice address
3801 BEE RIDGE RD, SUITE #3, SARASOTA, FL 34233-1166
(941) 923-8181
(941) 923-1113
Mailing address
3801 BEE RIDGE RD, SUITE #3, SARASOTA, FL 34233-1166
(941) 923-8181
(941) 923-1113

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OPC 2467
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073513057
NPI INDIVIDUAL
FL
Enumeration date
08/31/2006
Last updated
05/15/2008
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