Individual
CHARLES G. BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1613 HARRISON PKWY, #200, SUNRISE, FL 33323-2853
(954) 838-2371
(954) 851-1758
Mailing address
PO BOX 817737, HOLLYWOOD, FL 33081-1737
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9162255
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106929
—
FL
Enumeration date
02/14/2006
Last updated
07/08/2007
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