Individual
DR. SHAUN SEBASTIAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1901 FLOYD ST, SARASOTA, FL 34239-2932
(941) 366-9222
(941) 365-2269
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
283673-1
NY
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
OS20005
FL
208600000X
Surgery Physician
283973-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118474200
—
FL
01
—
Q2807
MEDICARE
FL
Enumeration date
06/13/2011
Last updated
09/19/2023
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