Individual
MICAH DENNIS BAXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3002 SE 1ST AVE, SUITE 100, OCALA, FL 34471-0407
(352) 368-2448
(352) 368-7796
Mailing address
3002 SE 1ST AVE, SUITE 100, OCALA, FL 34471-0407
(352) 368-2448
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25834
SC
2084P0800X
Psychiatry Physician
Primary
ME100494
FL
2084P0805X
Geriatric Psychiatry Physician
ME100494
FL
Other
Enumeration date
03/06/2007
Last updated
10/01/2014
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