Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | ME111421 | FL |
N | 208200000X | Surgeon | ME111421 | FL |
N | 208600000X | Surgeon | ME111421 | FL |
Y | 2086S0105X | Surgery of the Hand | ME111471 | FL |
NPI | 1699922781 |
---|---|
Provider Name | Jose A Baez Lorenzo |
First Address | Jacksonville, FL 32223-1627 |
Second Address | Fleming Island, FL 32003-4324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2008 |
Last Update Date | 29/08/2016 |