Michael Dean Baldwin, PHARMD
Individual provider Active NPI Pharmacist · Edgewater, FL
NPI 1386981975 · NPPES record last updated Jan 16, 2013
Key facts
- NPI
- 1386981975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS36606 (FL)
- Practice address
- 2970 S Ridgewood Ave
Edgewater, FL 32141-7527 - Phone
- (386) 478-1334
- Fax
- (386) 478-1337
- NPI assigned
- Jan 16, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS36606 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS36606 | FL | Yes |
Addresses
Primary practice location
2970 S Ridgewood Ave
Edgewater, FL 32141-7527
Mailing address
2970 S Ridgewood Ave
Edgewater, FL 32141-7527
Phone (386) 478-1334
Other providers in Edgewater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2013. 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.