Individual
DR. RAMON EDMUNDO BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 W 8TH ST, UFJP NEUROLOGY, JACKSONVILLE, FL 32209-6533
(904) 244-3961
(904) 244-3425
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
037951
GA
2084N0400X
Neurology Physician
Primary
ME82495
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000877016A
—
GA
05
—
000877016C
—
GA
05
—
2587718-00
—
FL
Enumeration date
03/14/2006
Last updated
04/07/2009
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