MEDICARE: REBECCA A BAUR P.A.-C

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	363A00000X	Physician Assistant	2001001417	MO
2	363A00000X	Physician Assistant	PA9111442	FL

General Provider Information

NPI Number	:	1841216785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA A BAUR P.A.-C

Provider Business Mailing Address
First Line	:	3140 NORTHSIDE DR
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-8011
Country	:	US
Telephone Number	:	314-566-9374
Fax Number	:

Provider Business Practice Location Address
First Line	:	3140 NORTHSIDE DR
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-8011
Country	:	US
Telephone Number	:	314-566-9374
Fax Number	:

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	02/10/2026

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