Baumgard, Jonathan

Baumgard, Jonathan is an individual health care provider with primary practice located at 7800 Sw 87Th Ave C-350, Miami FL 33173-2539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Baumgard, Jonathan can be contacted via phone (305) 271-4711.

Contact Information

Primary practice address
7800 Sw 87Th Ave C-350 Miami FL 33173-2539
Fax: (305) 271-8732
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME26824 Florida

Profile Details

NPI number 1730178146
LBN Legal business name Baumgard, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 8th, 2015 - about 11 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 1730178146 NPPES
Florida MEDICAID 260356000

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