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NPI Code Detail

MEDICARE: ADELAIDE R BAUER ARNP

MEDICARE:   ADELAIDE R BAUER  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP3295092FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2Y01MDOTHERFLFL BLUE

General Provider Information

NPI Number : 1265624084
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADELAIDE R BAUER ARNP
Provider Business Mailing Address
First Line : 1700 NW 49TH ST STE 125
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-3750
Country : US
Telephone Number : 954-566-8367
Fax Number : 954-566-6488
Provider Business Practice Location Address
First Line : 6333 N FEDERAL HIGHWAY
Second Line : SUITE 400
City : FORT LAUDERDALE
State : FL
Zip : 33308-1913
Country : US
Telephone Number : 954-566-8367
Fax Number : 954-566-6488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2007
Last Update Date : 07/25/2022

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Directions to “ ADELAIDE R BAUER ARNP” Practice Location

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