Individual
ROBERTO RAFAEL BALDASSARRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS
Contact information
Practice address
3293 GREENWALD WAY N, KISSIMMEE, FL 34741-0772
(801) 860-2925
Mailing address
3293 GREENWALD WAY N, KISSIMMEE, FL 34741-0772
(801) 860-2925
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
05/28/2020
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