MEDICARE: TOCHICA BAPTISTE

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
1	363A00000X	Physician Assistant	PA9120873	FL

General Provider Information

NPI Number	:	1013880301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOCHICA BAPTISTE

Provider Business Mailing Address
First Line	:	4930 E LAKE MARY BLVD
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-5003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6101 LAKE ELLENOR DR STE 105
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-4616
Country	:	US
Telephone Number	:	407-322-8645
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2025
Last Update Date	:	03/11/2026

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Directions to “ TOCHICA BAPTISTE ” Practice Location

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