MEDICARE: GO4HEALTHNOW, LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1144837329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GO4HEALTHNOW, LLC

Provider Business Mailing Address
First Line	:	5632 BEE RIDGE RD STE 101
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34233-1506
Country	:	US
Telephone Number	:	941-413-0479
Fax Number	:

Provider Business Practice Location Address
First Line	:	5632 BEE RIDGE RD STE 101
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34233-1506
Country	:	US
Telephone Number	:	941-413-0479
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	BARABARA L BAKUS
Credential	:	DO
Telephone Number	:	440-991-6718

Provider Enumeration Date	:	09/30/2020
Last Update Date	:	09/30/2020

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Directions to “GO4HEALTHNOW, LLC ” Practice Location

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