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NPI Code Detail

MEDICARE: DAVID A BAUM CRNA

MEDICARE:   DAVID A BAUM  CRNA
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
1367500000XCertified Registered Nurse Anesthetist89730FL
2367500000XCertified Registered Nurse AnesthetistRN727728PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112491964OTHERCAQH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750648317
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID A BAUM CRNA
Provider Business Mailing Address
First Line : 6327 PROVIDENCE CIR APT 3
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-2170
Country : US
Telephone Number : 727-320-4935
Fax Number :
Provider Business Practice Location Address
First Line : 6327 PROVIDENCE CIR APT 3
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-2170
Country : US
Telephone Number : 727-320-4935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2012
Last Update Date : 10/29/2021

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Directions to “ DAVID A BAUM CRNA” Practice Location

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