Provider Demographics
NPI:1912024258
Name:BALDWIN, RONALD FRANCIS (DO)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:FRANCIS
Last Name:BALDWIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2475 W INTERNATIONAL SPEEDWAY BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-1117
Mailing Address - Country:US
Mailing Address - Phone:772-201-6211
Mailing Address - Fax:
Practice Address - Street 1:2475 W INTERNATIONAL SPEEDWAY BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-1117
Practice Address - Country:US
Practice Address - Phone:772-201-6211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3773152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist