Provider Demographics
NPI:1235502634
Name:BAUDET, GERARDO (CSA)
Entity Type:Individual
Prefix:
First Name:GERARDO
Middle Name:
Last Name:BAUDET
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 LESLIE DR
Mailing Address - Street 2:523
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2914
Mailing Address - Country:US
Mailing Address - Phone:305-724-2908
Mailing Address - Fax:
Practice Address - Street 1:400 LESLIE DR
Practice Address - Street 2:523
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2914
Practice Address - Country:US
Practice Address - Phone:305-724-2908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-06
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant