Joel O Bautista is a Surgery in Deland, Florida. Joel O Bautista practices all healthcare services and medical treatments related to Surgery. The NPI Number for Joel O Bautista is 1700878253. The last update date is 2010-10-06.
Joel O Bautista's current location address is 151 Victoria Commons Blvd, Deland, Florida. You can contact this provider via phone number 3869437175 and fax number 3867348825. The mailing address for Joel O Bautista is 151 Victoria Commons Blvd, Deland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joel O Bautista |
|---|---|
| Address | 151 Victoria Commons Blvd, Deland, Florida |
| Phone Number | 3869437175 |
| Fax Number | 3867348825 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700878253 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2010-10-06 |
Provider Mailing Address Detail
| Address | 151 Victoria Commons Blvd |
|---|---|
| City | Deland |
| State | Florida (FL) |
| Post Code | 327247700 |
| Phone Number | 3869437175 |
| Fax Number | 3867348825 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | ME 102468 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 203716105 | MO | -- | |
| 29232 | MO | ANTHEM BC/BS | |
| 20019367 | MO | TRAVELERS MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Joel O Bautista by the Centers for Medicare & Medicaid Services?
The Joel O Bautista has been assigned the NPI (National Provider Identifier) 1700878253 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Joel O Bautista?
The Joel O Bautista is situated at 151 Victoria Commons Blvd, in the city of Deland, state of FL, with the zip code 327247700.
What is Joel O Bautista's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joel O Bautista's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700878253 to Joel O Bautista?
The Centers for Medicare & Medicaid Services originally issued the 1700878253 to Joel O Bautista on 2005-08-19.
As of what date was the information regarding Joel O Bautista, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joel O Bautista, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-10-06.