MEDICARE: BAIKAL MARKETING GROUP INC.

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1265065429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAIKAL MARKETING GROUP INC.

Provider Business Mailing Address
First Line	:	2500 METROCENTRE BLVD STE 7
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3107
Country	:	US
Telephone Number	:	561-855-4678
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 METROCENTRE BLVD STE 7
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3107
Country	:	US
Telephone Number	:	561-855-4678
Fax Number	:	561-855-4705

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. JEAN FRANCOIS RODNEY
Credential	:	MD
Telephone Number	:	561-855-4678

Provider Enumeration Date	:	02/17/2020
Last Update Date	:	02/17/2020

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