Individual
BROOKE TAYLOR BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4651 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 321-1786
(813) 321-1787
Mailing address
4651 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 321-1786
(813) 321-1787
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME106223
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN9952
FL
Other
Enumeration date
10/15/2007
Last updated
01/15/2019
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