Individual
MR. IVAN BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1150 N 35TH AVE, HOLLYWOOD, FL 33021-5424
(954) 265-3437
(954) 983-5052
Mailing address
9940 W CALUSA CLUB DR, MIAMI, FL 33186-1512
(786) 232-5450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9108132
FL
Other
Enumeration date
11/15/2011
Last updated
10/14/2015
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