Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | ME51144 | FL |
NPI | 1144228362 |
---|---|
Provider Name | David Robert Baldinger |
First Address | Fort Myers, FL 33906-2707 |
Second Address | Fort Myers, FL 33912-4343 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 05/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
057343400 | (05) | FL |
14076 | BC BS PROVIDER # (01) | FL |
F02592 | (02) |