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NPI Code Detail

MEDICARE: EDENS BAPTISTE

MEDICARE: EDENS BAPTISTE
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
1227900000XRegistered Respiratory TherapistRT 11194FL

General Provider Information

NPI Number : 1982026449
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDENS BAPTISTE
Provider Business Mailing Address
First Line : 999 NE 167TH ST APT 200
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-3713
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 999 NE 167TH ST APT 200
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-3713
Country : US
Telephone Number : 786-286-3523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2014
Last Update Date : 01/17/2014

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Directions to “ EDENS BAPTISTE ” Practice Location

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