Baczuk, Rebecca Lynne
Baczuk, Rebecca Lynne is an sole proprietor health care provider with primary practice located at 200 N Lakemont Ave , Winter Park FL 32792-3273. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Baczuk, Rebecca Lynne can be contacted via phone (407) 303-1332.Contact Information
Primary practice address
200 N Lakemont Ave
Winter Park FL 32792-3273
Phone: (407) 303-1332
Fax: (407) 303-0347
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 0101236813 | Virginia |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME153039 | Florida |
Profile Details
NPI number | 1023093812 |
---|---|
LBN Legal business name | Baczuk, Rebecca Lynne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 14th, 2005 |
Last updated | Feb 29th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023093812 | NPPES |
Florida | MEDICAID | 113813700 |
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