Jose L Baca, ARNP
Nurse Practitioner, Family in Wellington, FL. Individual provider (NPI-1).
NPI number1982189874
StatusActive
Last updated in NPPESJan 31, 2019
Details
- NPI
- 1982189874
- Entity type
- Individual (NPI-1)
- Name
- Jose L Baca
- Credential
- ARNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2018
- Last updated
- Jan 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | ARNP9315089 | FL | Yes |
Practice location
13421 S Shore Blvd Ste 101Wellington, FL 33414
Phone 561-440-1616 · Fax 561-440-2030
Mailing address
367 S. Gulph RdAttn: Ipm Credentialing
King Of Prussia, PA 19406-3121
Phone 561-440-1616
Other practice locations
9641 Sw 77th Ave Apt 302d
Miami, FL 33156-2647
Miami, FL 33156-2647
Phone 305-753-6843
9641 Sw 77th Ave Apt 302d
Miami, FL 33156-2647
Miami, FL 33156-2647
Phone 305-753-6843
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