Individual
PATRICIA J BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
H.A.S
Contact information
Practice address
1555 ATLANTIC BLVD, NEPTUNE BEACH, FL 32266-1717
(904) 241-0327
(904) 241-0311
Mailing address
20 CORONA CT, PALM COAST, FL 32137-9021
(386) 597-2134
(386) 579-2190
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT 4622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT 4622
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
02/18/2010
Last updated
02/18/2010
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