Individual
DR. JOHN MICHAEL BAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 399-6850
Mailing address
501 MIRASOL CIR, SUITE 417, CELEBRATION, FL 34747-5144
(502) 370-5092
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20827
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
102656
FL
207V00000X
Obstetrics & Gynecology Physician
20827
KY
208M00000X
Hospitalist Physician
20827
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000527304
ANTHEM
KY
01
—
000000642738
ANTHEM BCBS PROVIDER #
KY
01
—
4611921
AETNA PROVIDER ID#
KY
05
—
64208275
—
KY
05
—
7100102130
—
KY
Enumeration date
04/26/2007
Last updated
07/12/2010
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