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NPI Code Detail

MEDICARE: DR. THOMAS ANTHONY BAUDO M.D.

MEDICARE: DR. THOMAS ANTHONY BAUDO 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
1174400000XSpecialistME0082084FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2180042279OTHERFLINDIV RR-RAILROAD MEDICAR

General Provider Information

NPI Number : 1205881976
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS ANTHONY BAUDO M.D.
Provider Business Mailing Address
First Line : 2750 INDIAN RIVER BLVD
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-5225
Country : US
Telephone Number : 772-569-9500
Fax Number : 772-569-9507
Provider Business Practice Location Address
First Line : 2750 INDIAN RIVER BLVD
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-5225
Country : US
Telephone Number : 772-569-9500
Fax Number : 772-569-9507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 06/04/2024

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