Healthcare Provider Details

I. General information

NPI: 1700462249
Provider Name (Legal Business Name): CHELSEA ORGAN BAUMGARTNER MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4114 WOODLANDS PKWY STE 500
PALM HARBOR FL
34685-3450
US

IV. Provider business mailing address

4114 WOODLANDS PKWY STE 500
PALM HARBOR FL
34685-3450
US

V. Phone/Fax

Practice location:
  • Phone: 727-942-5189
  • Fax:
Mailing address:
  • Phone: 727-942-5189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME177570
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: