Individual
JOSE A BAEZ LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1715 EAGLE HARBOR PKWY, SUITE A, FLEMING ISLAND, FL 32003-4324
(904) 215-2422
(904) 215-6122
Mailing address
11945 SAN JOSE BLVD, STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
ME111421
FL
208600000X
Surgery Physician
ME111421
FL
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
ME111471
FL
Other
Enumeration date
08/20/2008
Last updated
08/29/2016
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