Individual
MARISA F. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 4TH FLOOR, TAMPA, FL 33606-3603
(813) 259-8500
(813) 259-8593
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME89610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270067100
—
FL
01
—
37934
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/14/2006
Last updated
10/22/2020
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