Baldassarri, Gerardo
Baldassarri, Gerardo is an individual health care provider with primary practice located at 98 Nocatee Village Dr , Ponte Vedra FL 32081-6152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baldassarri, Gerardo can be contacted via phone (904) 202-4243.Contact Information
Primary practice address
98 Nocatee Village Dr
Ponte Vedra FL 32081-6152
Phone: (904) 202-4243
Fax: (904) 202-4639
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME92921 | Florida |
Profile Details
NPI number | 1275504581 |
---|---|
LBN Legal business name | Baldassarri, Gerardo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 27th, 2006 |
Last updated | Jan 10th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275504581 | NPPES |
Florida | Other | 16636 | BCBS |
Florida | MEDICAID | 273061800 | BCBS |
Florida | Other | 1275504581 | BCBS |
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