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ELIAS ENRIQUE BAUTA SANCHEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1849 COYOTE PL, BRANDON, FL 33511-1743
(813) 995-1728
Mailing address
1849 COYOTE PL, BRANDON, FL 33511-1743
(813) 995-1728

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11026505
FL

Other

Enumeration date
05/24/2023
Last updated
05/30/2023
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