German E. Baldeon, MD
Individual provider Active NPI Internal Medicine Physician · Lecanto, FL
NPI 1891726741 · NPPES record last updated Sep 21, 2016
Key facts
- NPI
- 1891726741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME41625 (FL)
- Practice address
- 2021 N Crooked Branch Dr
Lecanto, FL 34461-9453 - Phone
- (352) 436-4428
- Fax
- (352) 228-4903
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40518 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Past | Accepting new patients | |
| Center for Cardiovascular Care a Medical Corporation | Past |
Accepting new patients | |
| Felicidad G Lao-Domingo MD Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME41625 | FL | Yes |
Addresses
Primary practice location
2021 N Crooked Branch Dr
Lecanto, FL 34461-9453
Mailing address
2021 N Crooked Branch Dr
Lecanto, FL 34461-9453
Phone (352) 436-4428
Other providers in Lecanto, FL
- Elizabeth Appleby
- Tamra Renae Assumpcao
- Jordanna Augustin
- Marta B Babol
- Balance Health & Beauty Institute
- Bhavesh B Barad
- Allison Barfield
- Shekinah Barfield
- Ashlynn Sky Barton
- Ellen Baxley
All providers in Lecanto, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2016. 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.