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Individual

DR. SCOTT B BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3550 UNIVERSITY BLVD S, STE 302, JACKSONVILLE, FL 32216-4225
(904) 733-4444
(904) 733-5377
Mailing address
3550 UNIVERSITY BLVD S, STE 302, JACKSONVILLE, FL 32216-4225
(904) 733-4444
(904) 733-5377

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 35731
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00576881A
GA
01
060013145
RAILROAD MEDICARE
FL
05
068336100
FL
01
102435
AVMED
FL
01
4047704
AETNA
FL
01
79805
BCBS
FL
Enumeration date
06/10/2005
Last updated
08/09/2012
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