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NPI Code Detail

MEDICARE: BAELIN WITT PT

MEDICARE: BAELIN WITT PT
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
1225100000XPhysical TherapistPT44343FL

General Provider Information

NPI Number : 1215880828
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAELIN WITT PT
Provider Business Mailing Address
First Line : 11727 ABESS BLVD APT 2111
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32225-6056
Country : US
Telephone Number : 904-662-4145
Fax Number :
Provider Business Practice Location Address
First Line : 1325 SAN MARCO BLVD STE 102
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8549
Country : US
Telephone Number : 904-858-7045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ BAELIN WITT PT” Practice Location

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