Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joel O Bautista, MD

Individual provider Surgery Physician · NPI 1700878253

Joel O Bautista, MD is a Surgery Physician in Deland, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

151 Victoria Commons Blvd Ste 105
Deland, FL 32724-7700
Phone: (386) 943-7175
Fax: (386) 734-8825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME 102468 (FL)

Record details

NPI number1700878253
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESOctober 6, 2010

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