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Individual

MRS. BARBARA L BAKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
6266 LAKE OSPREY DR, LAKEWOOD RANCH, FL 34240-8425
(941) 867-2560
Mailing address
6266 LAKE OSPREY DR, LAKEWOOD RANCH, FL 34240-8425
(941) 867-2560

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34-007731
OH
207Q00000X
Family Medicine Physician
Primary
OS11704
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016802200
FL
Enumeration date
06/28/2007
Last updated
01/23/2024
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