Organization
PAMELA B. BAINES, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA B. BAINES MD (PRESIDENT)
(813) 876-6010
Entity
Organization
Contact information
Practice address
2727 W DR MARTIN LUTHER KING JR BLVD, SUITE 660, TAMPA, FL 33607-6383
(813) 876-6010
(813) 876-8411
Mailing address
2727 W DR MARTIN LUTHER KING JR BLVD, SUITE 660, TAMPA, FL 33607-6383
(813) 876-6010
(813) 876-8411
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0070987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750378170
NPI
FL
05
—
2502933300
—
FL
Enumeration date
07/06/2011
Last updated
07/06/2011
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