Individual
DR. PAMELA B BAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
FLORIDA ENT & ALLERGY, 5105 N ARMENIA AVE, TAMPA, FL 33603-1405
(813) 879-8045
(813) 876-6504
Mailing address
SELECT PHYSICIANS ALLIANCE, 10002 PRINCESS PALM AVE. STE 332, TAMPA, FL 33619-8327
(813) 571-7184
(813) 654-4695
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0070987
FL
207Y00000X
Otolaryngology Physician
ME070987
FL
207YP0228X
Pediatric Otolaryngology Physician
ME070987
FL
207YX0602X
Otolaryngic Allergy Physician
ME070987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250293300
—
FL
01
—
31681
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/30/2005
Last updated
05/03/2019
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