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NPI Code Detail

MEDICARE: CHRISTINE BALDASSO

MEDICARE: CHRISTINE BALDASSO
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
1207R00000XInternal Medicine PhysicianME178674FL

General Provider Information

NPI Number : 1265182612
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE BALDASSO
Provider Business Mailing Address
First Line : 203 N MARION ST
Second Line :
City : TAMPA
State : FL
Zip : 33602-4914
Country : US
Telephone Number : 813-474-9804
Fax Number : 813-540-6025
Provider Business Practice Location Address
First Line : 203 N MARION ST
Second Line :
City : TAMPA
State : FL
Zip : 33602-4914
Country : US
Telephone Number : 813-474-9804
Fax Number : 813-540-6025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2022
Last Update Date : 02/06/2026

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Directions to “ CHRISTINE BALDASSO ” Practice Location

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