Baxter, Phung
Baxter, Phung is an sole proprietor health care provider with primary practice located at 6280 Lake Osprey Dr , Lakewood Ranch FL 34240-8425. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Baxter, Phung can be contacted via phone (941) 351-5700.Contact Information
Primary practice address
6280 Lake Osprey Dr
Lakewood Ranch FL 34240-8425
Phone: (941) 351-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9113083 | Florida |
Profile Details
| NPI number | 1336769256 |
|---|---|
| LBN Legal business name | Baxter, Phung |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2020 |
| Last updated | Dec 6th, 2021 - about 5 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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