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Organization

JUAN E. BATISTA #2

Active
Parent organization
JUAN E. BATISTA, MD, PA
Other names
JUAN E. BATISTA #2
Organization subpart
Yes

Provider details

NPI number
Legal business name
JUAN E. BATISTA, MD, PA
Authorized official
AMPARO GONZALEZ (OFFICE MANAGER)
(561) 433-0080
Entity
Organization

Contact information

Practice address
4623 FOREST HILL BLVD, SUITE 112, WEST PALM BEACH, FL 33415-9121
(561) 433-0080
(561) 433-1668
Mailing address
4623 FOREST HILL BLVD, SUITE 112, WEST PALM BEACH, FL 33415-9121
(561) 433-0080
(561) 433-1668

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME109755
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271119201
FL
Enumeration date
06/15/2012
Last updated
10/11/2012
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