MEDICARE: HARRY JEAN-BAPTISTE 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	208000000X	Pediatrics Physician	ME63118	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	:	1972588762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRY JEAN-BAPTISTE MD

Provider Business Mailing Address
First Line	:	900 S PINE ISLAND RD STE 800
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-3923
Country	:	US
Telephone Number	:	954-210-7016
Fax Number	:	954-785-0755

Provider Business Practice Location Address
First Line	:	601 E SAMPLE RD
Second Line	:	STE 107
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-4443
Country	:	US
Telephone Number	:	954-210-7016
Fax Number	:	954-785-0755

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

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	05/16/2024

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