Healthcare Provider Details

I. General information

NPI: 1437332269
Provider Name (Legal Business Name): HANS JEAN-BAPTISTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 W OAKLAND PARK BLVD
LAUDERDALE LAKES FL
33313-7500
US

IV. Provider business mailing address

1764 SW CATALONIA ST
PORT ST LUCIE FL
34987-2071
US

V. Phone/Fax

Practice location:
  • Phone: 954-353-5168
  • Fax: 954-256-9328
Mailing address:
  • Phone: 516-469-8886
  • Fax: 954-256-9328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD 040908
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME119131
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD95737
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC1-0010197
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101242363
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: