Baraga, Anthony Jackson
Baraga, Anthony Jackson is an individual health care provider with primary practice located at 3231 Mcmullen Booth Rd Fl 1 , Safety Harbor FL 34695-6607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Baraga, Anthony Jackson can be contacted via phone (727) 725-6905.Contact Information
Primary practice address
3231 Mcmullen Booth Rd Fl 1
Safety Harbor FL 34695-6607
Phone: (727) 725-6905
Fax: (727) 266-4931
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME113455 | Florida |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME113455 | Florida |
Profile Details
NPI number | 1629206800 |
---|---|
LBN Legal business name | Baraga, Anthony Jackson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2009 |
Last updated | Aug 15th, 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 | 1629206800 | NPPES |
Florida | MEDICAID | 0072580-00 |
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