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1982189874
JOSE L BACA
WELLINGTON, FL
NPI
1982189874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9315089)
Enumeration Date
2018-09-26
Last Update Date
2019-01-31
Business Address
JOSE L BACA ARNP
13421 S SHORE BLVD STE 101
WELLINGTON, FL 33414
Phone number: 561-440-1616
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Mailing Address
JOSE L BACA ARNP
367 S. GULPH RD ATTN: IPM CREDENTIALING
KING OF PRUSSIA, PA 19406-3121
Phone number: 561-440-1616
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