Individual
SANJAY BAKSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1671 N CLYDE MORRIS BLVD STE 100, DAYTONA BEACH, FL 32117-5590
(386) 274-2977
Mailing address
1671 N CLYDE MORRIS BLVD STE 100, DAYTONA BEACH, FL 32117-5590
(386) 274-2977
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME140861
FL
208VP0014X
Interventional Pain Medicine Physician
195930
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112736900
—
FL
Enumeration date
05/20/2006
Last updated
06/12/2024
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