Individual
BRETT BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 NE 2ND ST, POMPANO BEACH, FL 33062-4806
(954) 943-5100
Mailing address
321 OLIVEWOOD PL, #121, BOCA RATON, FL 33431-6526
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
14666
FL
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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