MEDICARE: DAVID BRIAN BALDWIN

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	101YM0800X	Mental Health Counselor	SW24814	FL

General Provider Information

NPI Number	:	1023984390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID BRIAN BALDWIN

Provider Business Mailing Address
First Line	:	630 34TH AVE S APT C
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33705-3731
Country	:	US
Telephone Number	:	904-333-4474
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 34TH AVE S APT C
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33705-3731
Country	:	US
Telephone Number	:	904-333-4474
Fax Number	:

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

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	10/14/2025

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Directions to “ DAVID BRIAN BALDWIN ” Practice Location

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