Individual
PAVEL BALDUYEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2627 RIVERSIDE AVE STE 32204, JACKSONVILLE, FL 32204-4717
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME135467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LB421
MEDICARE
FL
Enumeration date
03/25/2014
Last updated
09/27/2021
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