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Dr. Nicholas Bauer, MD,MHA
Student in an Organized Health Care Education/Training Program in Jacksonville, Florida
NPI 1467818039

Nicholas Bauer is a Student in an Organized Health Care Education/Training Program based in Jacksonville, FL. Nicholas Bauer practices in Jacksonville, FL and has the professional credentials of MD,MHA. The NPI Number for Nicholas Bauer is 1467818039 and holds a License No. 0101262940 (Florida).

The current practice location address for Nicholas Bauer is 554 Keily Street, Jacksonville, FL and can be reached out via phone at 757-953-7550 and via fax at 757-953-7560.

Location: 554 Keily Street, Jacksonville, FL, 32212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467818039
Provider Name
Nicholas Bauer
Credential
MD,MHA
Provider Entity Type
Individual
Gender
Male
Address
554 Keily Street, Jacksonville, FL, 32212
Phone Number
757-953-7550
Fax Number
757-953-7560
Provider Enumeration Date
01/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
554 Keily Street
City
Jacksonville
State
Florida
Zip
32212
Phone Number
757-953-7550
Fax Number
757-953-7560
person
Provider Business Mailing Address Details
Address
554 Keily Street
City
Jacksonville
State
Florida
Zip
32212
Phone Number
757-953-7550
Fax Number
757-953-7560
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0101262940 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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