Organization
IRA M BAUM DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA M BAUM DPM PA (PRESIDENT)
(305) 598-9454
Entity
Organization
Contact information
Practice address
8940 N KENDALL DR, STE 801E, MIAMI, FL 33176-2148
(305) 598-9454
(305) 598-2884
Mailing address
8940 N KENDALL DR, STE 801E, MIAMI, FL 33176-2148
(305) 598-9454
(305) 598-2884
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1214
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0715050001
P TAN
FL
01
—
77751
MEDICARE GRP
FL
Enumeration date
12/05/2007
Last updated
04/10/2014
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