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Individual

MRS. NASTASSIA G BALTODANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9330 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 834-4000
Mailing address
2802 SW 67TH LN, MIRAMAR, FL 33023-4808
(954) 643-5679

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA517
FL
367H00000X
Anesthesiologist Assistant

Other

Enumeration date
07/30/2019
Last updated
01/18/2021
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