Individual
MR. MICHAEL T. BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
21912 HALE RD, LAND O LAKES, FL 34639-3735
(813) 996-6071
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 2206
FL
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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