Videona B Bautista M.D.

NPI 1003992017 - Internal Medicine - 207R00000X

NPI Details
NPI 1003992017
Gender Female
Enumeration Date 10/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1524 SE 3RD AVE.
FT. LAUDERDALE FL, 33316-2502, US
Phone (954) 763-6188
Fax (951) 763-6199
Business Location
1524 SE 3RD AVE
FT LAUDERDALE FL, 33316-2502, US
Phone (954) 763-6188
Fax (954) 763-6199
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME0029452
Remove 1003992017 NPI Number
 

According to our database, Dr. Videona B Bautista M.D. NPI is 1003992017, taxonomy code is 207R00000X and license number is ME0029452, license state is located at Florida. Videona B Bautista M.D. physically located at 1524 Se 3rd Ave., Ft. Lauderdale FL, 33316-2502. NPI Number Videona B Bautista M.D. has the Individual type.

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1003992017 NPI number is provided on an as is basis without warranty of any kind. 1003992017 is maintained by the National Plan & Provider Enumeration System. The contents of Videona B Bautista M.D. are for informational purposes only.