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Physician Compare National (NPI:1255462420)

HEALTHCARE PROVIDER: MICHAEL BAPTISTA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1255462420
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9638265234
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20071012000042
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BAPTISTA
Individual professional last name
Provider First Name MICHAEL
Individual professional first name
Provider Middle Name L
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1987
Individual professional's medical school graduation year
Primary Specialty GENERAL SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 9471 BAYMEADOWS RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 207
Group Practice or individual's line 2 address
City JACKSONVILLE
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 322567935
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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