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:
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Health care specialties

SpecialtyCodeLicense #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 2 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275504581 NPPES
Florida Other 16636 BCBS
Florida MEDICAID 273061800 BCBS
Florida Other 1275504581 BCBS

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