MEDICARE: MR. FREDERICK JEAN BAUDOIN D'AJOUX RN

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	163WG0000X	General Practice Registered Nurse	2806062	FL
2	163WI0500X	Infusion Therapy Registered Nurse	2806062	FL

General Provider Information

NPI Number	:	1194728618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FREDERICK JEAN BAUDOIN D'AJOUX RN

Provider Business Mailing Address
First Line	:	10470 VALENTINE RD S
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-8606
Country	:	US
Telephone Number	:	850-877-7316
Fax Number	:

Provider Business Practice Location Address
First Line	:	10470 VALENTINE RD S
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-8606
Country	:	US
Telephone Number	:	850-877-7316
Fax Number	:

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

Provider Enumeration Date	:	05/30/2005
Last Update Date	:	09/11/2025

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