| Doctor Name: | ESDRA JEAN BAPTISTE |
| NPI Number: | 1669875670 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 18853 |
| Business Practice Address: | 4435 Us Highway 98 N Suit B Lakeland, FL - 338090402 |
| Business Phone Number: | 8638588010 |
| Business Fax Number: | |
| Mailing Address: | 5040 Long Lake Cir, 304 LAKELAND |
| State: | FL |
| Postal Code: | 338059581 |
| Phone Number: | 4108459295 |
| Fax Number: | 8635829265 |
| NPI Enumeration Date: | 10/03/2014 |
| NPI Last Update Date: | 10/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 18853 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |