SANDRA JOSEFINA BAEZ NUNEZ


Address: 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256
Phone: 4076356812

SANDRA JOSEFINA BAEZ NUNEZ (NPI# 1982235859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982235859
Entity Type Individual
Full Name SANDRA JOSEFINA BAEZ NUNEZ
Credential APRN
Practice Address 10739 Deerwood Park Blvd
Suite 200
Jacksonville
FL 32256
Practice Telephone 4076356812
Practice Fax Number 8665096155
Mailing Telephone 4076356812
Mailing Fax Number 8665096155
Enumeration Date 2020-01-30
Last Update Date 2020-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
11005358 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10739 DEERWOOD PARK BLVD
SUITE 200
City JACKSONVILLE
State FL
Zip Code 32256

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1649877200 Shalom Barile Nurse Practitioner 1377 Ingleside Ave, Jacksonville, FL 32205-7733 2020-10-07
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1568078418 Jennifer Ruth Woodard Nurse Practitioner 29 Trinity Way, Jacksonville, AL 36265-5813 2020-09-16
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1063025906 Fabiola Baptiste Nurse Practitioner 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 2020-08-29
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Competitor

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City JACKSONVILLE
Zip Code 32256

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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