JOSE L BACA

WELLINGTON, FL
NPI1982189874
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9315089)
Enumeration Date2018-09-26
Last Update Date2019-01-31
Business Address
JOSE L BACA ARNP
13421 S SHORE BLVD STE 101
WELLINGTON, FL 33414
Phone number: 561-440-1616
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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