Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PTA 27248 | FL |
NPI | 1033651856 |
---|---|
Provider Name | Victor Jean-Baptiste |
First Address | Miami, FL 33170-7585 |
Second Address | Miami, FL 33170-7585 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2016 |
Last Update Date | 10/11/2016 |