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WASHINGTON D. BAQUERO MD PA NPI 1124161542


NPI Information

NPI: 1124161542
Provider Name: WASHINGTON D. BAQUERO, MD, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1705 COLONIAL BLVD
STE C-1
FORT MYERS, FL
ZIP 33907
Phone: (239) 275-4141
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WASHINGTON D. BAQUERO, MD, PA is a family medicine in Fort Myers, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WASHINGTON D. BAQUERO, MD, PA NPI is 1124161542. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1705 COLONIAL BLVD
STE C-1
FORT MYERS, FL
ZIP 33907-195
Phone: (239) 275-4141
Fax: (239) 275-4879

The provider's authorized official is Washington D. Baquero .
The authorized official title is Physician and has the following contact phone number (239) 275-4141.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 12/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1038989700MEDICAIDFLORIDA
2D 82431MEDICARE UPINFLORIDA
3K2633MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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