Linda Baco PAC

NPI 1033167218 - Physician Assistant - 363A00000X

NPI Details
NPI 1033167218
Gender Female
Enumeration Date 05/04/2006
Last Updated 05/19/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
22 WEST UNDERWOOD ST
4TH FLOOR
ORLANDO FL, 32806, US
Phone (407) 649-6878
Fax (407) 843-7381
Business Location
102 WEST PINELOCH AVENUE
SUITE 23
ORLANDO FL, 32806-6100, US
Phone (407) 481-7173
Fax (407) 481-7190
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA9102870
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According to our database, Linda Baco PAC NPI is 1033167218, taxonomy code is 363A00000X and license number is PA9102870, license state is located at Florida. Linda Baco PAC physically located at 22 West Underwood St, Orlando FL, 32806. NPI Number Linda Baco PAC has the Individual type.

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1033167218 NPI number is provided on an as is basis without warranty of any kind. 1033167218 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Baco PAC are for informational purposes only.