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
Fax: (727) 266-4931
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629206800 NPPES
Florida MEDICAID 0072580-00

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