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NPI Code Detail

MEDICARE: DR. LUDWIG BAVETTA MD

MEDICARE: DR. LUDWIG BAVETTA MD
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
1207L00000XAnesthesiology PhysicianME49346FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21104826999OTHERFLINDIVIDUAL NPI

General Provider Information

NPI Number : 1104826999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUDWIG BAVETTA MD
Provider Business Mailing Address
First Line : PO BOX 895124
Second Line :
City : LEESBURG
State : FL
Zip : 34789-5124
Country : US
Telephone Number : 352-552-4273
Fax Number : 352-728-0083
Provider Business Practice Location Address
First Line : 502 W HIGHLAND BLVD
Second Line :
City : INVERNESS
State : FL
Zip : 34452-4720
Country : US
Telephone Number : 352-726-1551
Fax Number : 352-726-9119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 07/08/2007

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Directions to “ DR. LUDWIG BAVETTA MD” Practice Location

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