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NPI Code Detail

MEDICARE: ALYSSA CHRISTINE BAEZ PA-C

MEDICARE:   ALYSSA CHRISTINE BAEZ  PA-C
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
1363A00000XPhysician AssistantPA9116506FL

General Provider Information

NPI Number : 1093445678
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA CHRISTINE BAEZ PA-C
Provider Business Mailing Address
First Line : 38135 MARKET SQUARE DR
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-7505
Country : US
Telephone Number : 813-888-8887
Fax Number :
Provider Business Practice Location Address
First Line : 6101 WEBB RD STE 106
Second Line :
City : TAMPA
State : FL
Zip : 33615-2859
Country : US
Telephone Number : 813-888-8887
Fax Number : 813-377-1701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2022
Last Update Date : 06/28/2023

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Directions to “ ALYSSA CHRISTINE BAEZ PA-C” Practice Location

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