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1275580185

NPI Code Detail

MEDICARE: DR. ALAN E BAKST MD

MEDICARE: DR. ALAN E BAKST MD

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	207RP1001X	Pulmonary Disease Physician	ME79475	FL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	0101255502	VA
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036051310	IL
4	207RP1001X	Pulmonary Disease Physician	036051310	IL
5	207RP1001X	Pulmonary Disease Physician	2014-01915	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275580185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN E BAKST MD

Provider Business Mailing Address
First Line	:	190 JOHN F KENNEDY DR
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1186
Country	:	US
Telephone Number	:	561-967-4118
Fax Number	:	561-967-3463

Provider Business Practice Location Address
First Line	:	190 JOHN F KENNEDY DR
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1186
Country	:	US
Telephone Number	:	561-967-4118
Fax Number	:	561-967-3463

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

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	03/23/2026

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Directions to “ DR. ALAN E BAKST MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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