Provider Demographics
NPI:1528257128
Name:BAUMANN, PAUL ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ARTHUR
Last Name:BAUMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 BELLAVISTA CIR
Mailing Address - Street 2:UNIT 303
Mailing Address - City:MIROMAR LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33913-8973
Mailing Address - Country:US
Mailing Address - Phone:239-489-4670
Mailing Address - Fax:
Practice Address - Street 1:10201 BELLAVISTA CIR
Practice Address - Street 2:UNIT 303
Practice Address - City:MIROMAR LAKES
Practice Address - State:FL
Practice Address - Zip Code:33913-8973
Practice Address - Country:US
Practice Address - Phone:239-489-4670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-138952085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology