MEDICARE: BROOKE TAYLOR BALDWIN 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	390200000X	Student in an Organized Health Care Education/Training Program	TRN9952	FL
2	207N00000X	Dermatology Physician	ME106223	FL

General Provider Information

NPI Number	:	1568650661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE TAYLOR BALDWIN MD

Provider Business Mailing Address
First Line	:	4651 VAN DYKE RD
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33558-4880
Country	:	US
Telephone Number	:	813-321-1786
Fax Number	:	813-321-1787

Provider Business Practice Location Address
First Line	:	4651 VAN DYKE RD
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33558-4880
Country	:	US
Telephone Number	:	813-321-1786
Fax Number	:	813-321-1787

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

Provider Enumeration Date	:	10/15/2007
Last Update Date	:	01/15/2019

Similar Medicare Providers

1730182312 — DR. JOSE ENRIQUE COLON M.D.
Practice Location Address:

4683 VAN DYKE RD
LUTZ, FL
33558-4880

Practice Phone: 813-968-7171
Practice Fax: 813-968-7282

1881632479 — DR. CARLA JOY ALBARRAN D.O.
Practice Location Address:

4683 VAN DYKE RD
LUTZ, FL
33558-4880

Practice Phone: 813-968-7171
Practice Fax: 813-443-8167

1437353554 — DR. ALISA SUZANNE PIERCE-KEE MD
Practice Location Address:

4683 VAN DYKE RD
LUTZ, FL
33558-4880

Practice Phone: 813-968-7171
Practice Fax: 813-443-8167

1780880476 — CHRISTOPHER DAVID EWANOWSKI M.D.
Practice Location Address:

4651 VAN DYKE RD
LUTZ, FL
33558-4880

Practice Phone: 813-321-1786
Practice Fax: 813-321-1787

1245421403 — JAMIE A MALLAH MD
Practice Location Address:

4683 VAN DYKE RD
LUTZ, FL
33558-4880

Practice Phone: 813-968-7171
Practice Fax: 813-968-7282

1487827416 — SUNCOAST SKIN SOLUTIONS
Practice Location Address:

4651 VAN DYKE RD
LUTZ, FL
33558-4880

Practice Phone: 813-321-1786
Practice Fax: 813-321-1787

Directions to “ BROOKE TAYLOR BALDWIN 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.