Individual
JEROME BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13279 SW 124TH ST, MIAMI, FL 33186-6408
(305) 244-5632
Mailing address
13279 SW 124TH ST, MIAMI, FL 33186-6408
(305) 244-5632
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
06/20/2023
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