| Paul D Baumgardner Dc Pa | |
|
2663 Airport Pulling Rd S D-104 Naples FL 34112-4875 | |
| (239) 793-3200 | |
| (239) 793-0756 |
| Full Name | Paul D Baumgardner Dc Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 2663 Airport Pulling Rd S, Naples, Florida |
| Authorized Official Name and Position | Paul D Baumgardner (PRESIDENT) |
| Authorized Official Contact | 2397323200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul D Baumgardner Dc Pa 2663 Airport Pulling Rd S D-104 Naples FL 34112-4875 Ph: (239) 793-3200 | Paul D Baumgardner Dc Pa 2663 Airport Pulling Rd S D-104 Naples FL 34112-4875 Ph: (239) 793-3200 |
| NPI Number | 1609039395 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 04/23/2013 |
| Medicare PECOS PAC ID | 0446325302 |
|---|---|
| Medicare Enrollment ID | O20080812000874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609039395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH 9592 (Florida) | Primary |
| Provider Name | Paul David Baumgardner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417118423 PECOS PAC ID: 6305914649 Enrollment ID: I20081014000249 |
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