Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | ME111515 | FL |
N | 208D00000X | General Practice Physician | ME111515 | FL |
NPI | 1033476924 |
---|---|
Provider Name | Dr. Bayan Bakir |
First Address | West Palm Beach, FL 33401-6318 |
Second Address | Ocala, FL 34471-6504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2012 |
Last Update Date | 20/01/2022 |