Dr. Walmir Baldocchi Da Costa
Pediatric Dentist
1340 E Orange Ave
Eustis
, Florida 32726-4343
Dr. Walmir Baldocchi Da Costa
Pediatric Dentist
1340 E Orange Ave
Eustis
, Florida 32726-4343
(352) 333-0070
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Walmir Baldocchi Da Costa
- 1340 E Orange Ave
- Eustis, FL
- Zip : 32726-4343
- Phone : (352) 333-0070
Second Address
- Dr. Walmir Baldocchi Da Costa
- 1340 E Orange Ave
- Eustis, FL
- Zip : 32726-4343
- Phone : (352) 273-5440
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | DN22582 | FL |
National Provider Identifier
| NPI | 1023539699 |
|---|---|
| Provider Name | Dr. Walmir Baldocchi Da Costa |
| First Address | Eustis, FL 32726-4343 |
| Second Address | Eustis, FL 32726-4343 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2017 |
| Last Update Date | 21/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.