MEDICARE: DR. JEFFREY D BAUMANN 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	207W00000X	Ophthalmology Physician	ME0045010	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180015934	OTHER	FL	RAILRAOD MEDICARE ID

Other Identifiers

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

General Provider Information

NPI Number	:	1841293974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY D BAUMANN MD

Provider Business Mailing Address
First Line	:	17560 HIGHWAY 441
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-6711
Country	:	US
Telephone Number	:	352-735-2020
Fax Number	:	352-735-3233

Provider Business Practice Location Address
First Line	:	17560 HIGHWAY 441
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-6711
Country	:	US
Telephone Number	:	352-735-2020
Fax Number	:	352-735-3233

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	11/30/2016

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