Individual
IVETTE ILIANA BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9250 WEST FLAGLER ST., MIAMI, FL 33174
(305) 552-2342
(305) 552-2099
Mailing address
8300 SW 172ND ST, VILLAGE OF PALMETTO BAY, FL 33157-4737
(305) 255-7365
(305) 259-3944
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN 2112442
FL
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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