MEDICARE: KATHRYN BAUMEZ

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	225100000X	Physical Therapist	PT36577	FL

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

General Provider Information

NPI Number	:	1528784865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN BAUMEZ

Provider Business Mailing Address
First Line	:	427 SAN JOSE DR
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884-1742
Country	:	US
Telephone Number	:	407-494-1016
Fax Number	:

Provider Business Practice Location Address
First Line	:	3317 US HIGHWAY 98 S
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33803-8316
Country	:	US
Telephone Number	:	863-213-1291
Fax Number	:

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

Provider Enumeration Date	:	10/18/2022
Last Update Date	:	10/18/2022

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Directions to “ KATHRYN BAUMEZ ” Practice Location

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