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NPI Code Detail

MEDICARE: ASHLEY DANIELLE BALDYGA

MEDICARE: ASHLEY DANIELLE BALDYGA
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 PractitionerAPRN11013958FL

General Provider Information

NPI Number : 1336710821
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY DANIELLE BALDYGA
Provider Business Mailing Address
First Line : 6703 EAGLE RIDGE DR
Second Line :
City : GREENACRES
State : FL
Zip : 33413-2129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 E BROWARD BLVD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33301-2134
Country : US
Telephone Number : 954-771-0611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2021
Last Update Date : 07/06/2021

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Directions to “ ASHLEY DANIELLE BALDYGA ” Practice Location

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