Individual
ROBERT ALAN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11701-32 SAN JOSE BLVD, SUITE 216, JACKSONVILLE, FL 32223
(904) 880-5888
(904) 880-0011
Mailing address
11701 32 SAN JOSE BLVD, SUITE 216, JACKSONVILLE, FL 32223-0756
(904) 880-5888
(904) 880-0011
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0030503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013893300
—
FL
01
—
172926
HEALTH EAST
FL
Enumeration date
06/19/2006
Last updated
06/22/2015
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