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Individual

ESDRA JEAN BAPTISTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4435 US HIGHWAY 98 N, SUIT B, LAKELAND, FL 33809-0402
(863) 858-8010
Mailing address
5040 LONG LAKE CIR, 304, LAKELAND, FL 33805-9581
(410) 845-9295
(863) 582-9265

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18853
PR

Other

Enumeration date
10/03/2014
Last updated
10/03/2014
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