Mr. Jose Elmo Baccay Eco
Nurse Practitioner - Gerontology
3505 Nw 84th Ave
Sunrise
, Florida 33351-6607
Mr. Jose Elmo Baccay Eco
Nurse Practitioner - Gerontology
3505 Nw 84th Ave
Sunrise
, Florida 33351-6607
(954) 748-3039
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mr. Jose Elmo Baccay Eco
- 3505 Nw 84th Ave
- Sunrise, FL
- Zip : 33351-6607
- Phone : (954) 748-3039
Second Address
- Mr. Jose Elmo Baccay Eco
- 3505 Nw 84th Ave
- Sunrise, FL
- Zip : 33351-6607
- Phone : (954) 748-3039
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | ARNP3110802 | FL |
National Provider Identifier
| NPI | 1083154694 |
|---|---|
| Provider Name | Mr. Jose Elmo Baccay Eco |
| First Address | Sunrise, FL 33351-6607 |
| Second Address | Sunrise, FL 33351-6607 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2017 |
| Last Update Date | 01/03/2017 |
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.