Individual
CAITLIN LIZBETH BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 HEALTH PARK BLVD STE 215, SAINT AUGUSTINE, FL 32086-5797
(904) 824-3777
(904) 824-6050
Mailing address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-7799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME144392
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126489000
—
FL
Enumeration date
04/07/2017
Last updated
06/30/2025
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