MEDICARE: DR. ROBERT G BAILY M.D.

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	207RC0000X	Cardiovascular Disease Physician	MD029993E	PA
2	207R00000X	Internal Medicine Physician	MD029993E	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1144221854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT G BAILY M.D.

Provider Business Mailing Address
First Line	:	625 9TH ST N
Second Line	:	SUITE 201
City	:	NAPLES
State	:	FL
Zip	:	34102-8143
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 9TH ST N
Second Line	:	SUITE 201
City	:	NAPLES
State	:	FL
Zip	:	34102-8143
Country	:	US
Telephone Number	:	239-261-2000
Fax Number	:	239-261-2266

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	07/19/2016

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