Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME72028 | FL |
Y | 208600000X | Surgeon | ME72028 | FL |
N | 2086S0122X | Plastic and Reconstructive Surgery | ME72028 | FL |
NPI | 1033146691 |
---|---|
Provider Name | Dr. Naji Kamal Baddoura |
First Address | Tampa, FL 33613-2612 |
Second Address | Tampa, FL 33613-2612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 25/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1300076 | UNITED HEALTHCARE (01) | FL |
1738245 | FIRST HEALTH (01) | FL |
2572044014 | (05) | FL |
265200 | AVMED (01) | FL |
27567 | WELLCARE (01) | FL |
32724 | BC/BS (01) | FL |
7698018 | AETNA (01) | FL |
8759380 | CIGNA (01) | FL |
G69294 | (02) | FL |