Organization
BAKER HEARD OSTEEN & DAVENPORT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY HORN (ADMINISTRATOR)
(407) 843-9083
Entity
Organization
Contact information
Practice address
345 W MICHIGAN ST, SUITE 114, ORLANDO, FL 32806-4465
(407) 843-9083
(407) 420-2900
Mailing address
345 W MICHIGAN ST, SUITE 114, ORLANDO, FL 32806-4465
(407) 843-9083
(407) 420-2900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7300047
AETNA
FL
Enumeration date
04/10/2006
Last updated
07/21/2022
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