Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME72961 | FL |
NPI | 1043240575 |
---|---|
Provider Name | Dr. Leslie S Baumann |
First Address | Miami, FL 33137 |
Second Address | Miami, FL 33137 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 01/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2528801-00 | (05) | FL |
G63306 | (02) | FL |