Individual
JAMES VETTER BAVINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1033 N PARKWAY FRONTAGE RD, LAKELAND, FL 33803-0401
(863) 647-8011
(863) 647-8029
Mailing address
PO BOX 95004, LAKELAND, FL 33804-5004
(863) 680-7000
(863) 680-7420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME41946
FL
Other
Enumeration date
01/31/2006
Last updated
12/19/2007
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