Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | OS14730 | FL |
NPI | 1700853280 |
---|---|
Provider Name | Dr. Alicia Steinmeyer Baldwin |
First Address | Oviedo, FL 32765-9279 |
Second Address | Oviedo, FL 32765-9279 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2006 |
Last Update Date | 14/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H93955 | (02) |