Individual
LODOVICO BALDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, MDC 44, TAMPA, FL 33612-9416
(813) 745-6790
(813) 745-1908
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME52895
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME52895
FL
207RH0000X
Hematology (Internal Medicine) Physician
ME52895
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME52895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23643
BLUE CROSS BLUE SHIELD
FL
05
—
37490100
—
FL
Enumeration date
07/03/2006
Last updated
12/26/2007
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