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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023093812 NPPES
Florida MEDICAID 113813700

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