Provider Demographics
NPI:1750645255
Name:BAILEY, AISHA DONINE (DO)
Entity Type:Individual
Prefix:DR
First Name:AISHA
Middle Name:DONINE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3375 CAPITAL CIR NE BLDG D
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-3778
Mailing Address - Country:US
Mailing Address - Phone:850-878-0229
Mailing Address - Fax:850-942-5837
Practice Address - Street 1:3375 CAPITAL CIR NE BLDG D
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-3778
Practice Address - Country:US
Practice Address - Phone:850-878-0229
Practice Address - Fax:850-942-5837
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13611208000000X
NJ25MB09108000208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics