Individual
MR. MALACHI BAKER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HEALTH CARE PROVIDER
Contact information
Practice address
1717 EAST CAYUGA ST, SAME ABOVE, TAMPA, FL 33610
(813) 475-0887
Mailing address
1717 EAST CAYUGA ST, SAME ABOVE, TAMPA, FL 33610-6025
(813) 306-0618
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
883599704
HOME HEALTH CARE PROVIDER
FL
Enumeration date
08/15/2022
Last updated
08/15/2022
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