Brendon Baez, IDMT
Military Health Care Provider, Independent Duty Medical Technicians in Hurlburt Field, FL. Individual provider (NPI-1).
NPI number1982137527
StatusActive
Last updated in NPPESApr 11, 2017
Details
- NPI
- 1982137527
- Entity type
- Individual (NPI-1)
- Name
- Brendon Baez
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2017
- Last updated
- Apr 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1003X | Military Health Care Provider, Independent Duty Medical Technicians | – | – | Yes |
Practice location
113 Lielmanis AveHurlburt Field, FL 32544-5613
Phone 850-881-3902
Mailing address
113 Lielmanis AveHurlburt Field, FL 32544-5613
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 57 Independent Duty Medical Technicians providers in Hurlburt Field · All 284 providers in Hurlburt Field
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