Provider Demographics
NPI:1194728618
Name:BAUDOIN D'AJOUX, FREDERICK JEAN (RN)
Entity type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:JEAN
Last Name:BAUDOIN D'AJOUX
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10470 VALENTINE RD S
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-8606
Mailing Address - Country:US
Mailing Address - Phone:850-877-7316
Mailing Address - Fax:
Practice Address - Street 1:10470 VALENTINE RD S
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32317-8606
Practice Address - Country:US
Practice Address - Phone:850-877-7316
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2806062163WG0000X, 163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Not Answered163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy