# BAKER HEARD OSTEEN & DAVENPORT MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073576120
- **Authorized official:** PENNY HORN (ADMINISTRATOR)
- **Authorized official phone:** (407) 843-9083

## Contact information

- **Practice address:** 345 W MICHIGAN ST, SUITE 114, ORLANDO, FL 32806-4465
- **Practice address phone:** (407) 843-9083
- **Practice address fax:** (407) 420-2900
- **Mailing address:** 345 W MICHIGAN ST, SUITE 114, ORLANDO, FL 32806-4465
- **Mailing address phone:** (407) 843-9083
- **Mailing address fax:** (407) 420-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | FL | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7300047 | AETNA | FL |