Provider Demographics
NPI:1003864034
Name:JEAN-BAPTISTE, GERARD (MD)
Entity Type:Individual
Prefix:DR
First Name:GERARD
Middle Name:
Last Name:JEAN-BAPTISTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 N MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6015
Mailing Address - Country:US
Mailing Address - Phone:561-687-8685
Mailing Address - Fax:561-683-2279
Practice Address - Street 1:1266 N MILITARY TRL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6015
Practice Address - Country:US
Practice Address - Phone:561-687-8685
Practice Address - Fax:561-683-2279
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME57660207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL371170600Medicaid
FLA60554Medicare UPIN
FL371170600Medicaid