Provider Demographics
NPI:1750901344
Name:BAKSH, BIBI ZALINA
Entity type:Individual
Prefix:
First Name:BIBI
Middle Name:ZALINA
Last Name:BAKSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 CLASSIC VIEW DR
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-2806
Mailing Address - Country:US
Mailing Address - Phone:863-399-9170
Mailing Address - Fax:
Practice Address - Street 1:941 CLASSIC VIEW DR
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-2806
Practice Address - Country:US
Practice Address - Phone:863-399-9170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant