Donald a Baseman P a
Organization Active NPI Specialist · Bonita Springs, FL
NPI 1306029913 · NPPES record last updated Dec 19, 2007
Key facts
- NPI
- 1306029913
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- OS0007431 (FL)
- Legal business name
- DONALD A BASEMAN P A
- Practice address
- 9410 Fountain Medical CT
#A102
Bonita Springs, FL 34135-4525 - Phone
- (239) 948-9600
- Fax
- (239) 274-5007
- NPI assigned
- Dec 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Angelique Haas
- Title
- Billing Manager
- Phone
- (239) 274-5004
National Provider Directory
Locations
9410 Fountain Medical Ct
#A102
Bonita Springs, FL 34135
Phone (239) 948-9600
9410 Fountain Medical Ct
Unit A102
Bonita Springs, FL 34135
Phone (239) 948-9600
9410 Fountain Medical Ct
Bonita Springs, FL 34135
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | OS0007431 | FL | Yes |
Addresses
Primary practice location
9410 Fountain Medical CT
#A102
Bonita Springs, FL 34135-4525
Mailing address
9410 Fountain Medical CT
#A102
Bonita Springs, FL 34135-4525
Phone (239) 948-9600
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.