Individual
DR. KERI ANN BAACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2415 N ORANGE AVE STE 402, ORLANDO, FL 32804-5505
(407) 622-0560
(407) 622-0563
Mailing address
2415 N ORANGE AVE STE 402, ORLANDO, FL 32804-5505
(407) 622-0560
(407) 622-0563
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME90465
FL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME90465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270175800
—
FL
Enumeration date
06/18/2006
Last updated
03/25/2019
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