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
Update your record
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