Individual
MRS. KATHLEEN M BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1325 36TH ST, SUITE A, VERO BEACH, FL 32960-6599
(772) 567-1164
(772) 770-0799
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(055) 583-7243
(786) 907-4485
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0068284
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256137900
—
FL
Enumeration date
07/20/2005
Last updated
10/03/2023
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