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Individual

IFTEKHAR BAIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2010 59TH ST W STE 4200, BRADENTON, FL 34209-4687
(941) 794-3999
(941) 792-4048
Mailing address
2025 INDIAN ROCKS RD S, LARGO, FL 33774-1035
(727) 586-7103
(727) 585-7205

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
UO2895
FL
207RC0000X
Cardiovascular Disease Physician
Primary
OS12229
FL
208D00000X
General Practice Physician
OS12229
FL

Other

Enumeration date
08/25/2011
Last updated
02/21/2019
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