Cynthia Leigh Baca, MD
Pediatrics in Hollywood, FL. Individual provider (NPI-1).
NPI number1841789260
StatusActive
Last updated in NPPESJul 19, 2021
Details
- NPI
- 1841789260
- Entity type
- Individual (NPI-1)
- Name
- Cynthia Leigh Baca
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2018
- Certification date
- Jul 19, 2021
- Last updated
- Jul 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | T1989 | TX | Yes |
| 208M00000X | Hospitalist | T1989 | TX | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1005 Joe Dimaggio DrHollywood, FL 33021-5402
Phone 505-610-9587
Mailing address
911 Doveplum CtHollywood, FL 33019-4873
Phone 505-610-9587
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