| Doctor Name: | MRS. EDITH E BAICKLE |
| NPI Number: | 1104884865 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP-BC |
| License Number: | F340306 |
| Business Practice Address: | 10000 Bay Pines Blvd Bay Pines, FL - 33744 |
| Business Phone Number: | 7273986661 |
| Business Fax Number: | 7273191055 |
| Mailing Address: | 7804 Charing Cross Way, PALMETTO |
| State: | FL |
| Postal Code: | 342211536 |
| Phone Number: | 9415314336 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | F340306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |