Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0204X | Pediatric Emergency Doctor | ME0091014 | FL |
Y | 2080P0214X | Pediatric Pulmonologist | ME91014 | FL |
NPI | 1689637589 |
---|---|
Provider Name | Dr. Jean Ernst Jean Baptiste |
First Address | Fort Myers, FL 33907-1855 |
Second Address | Fort Myers, FL 33907-5634 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 10/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
271207500 | (05) | FL |