Individual
BRANDON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15111 BUCKHORN COURT, LUTZ, FL 33559
(850) 980-5895
Mailing address
15111 BUCKHORN CT, LUTZ, FL 33559-7721
(850) 980-5895
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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