Individual
DR. DENISE L BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3651 CORTEZ RD W STE 100, BRADENTON, FL 34210-3167
(941) 748-6161
(941) 761-4478
Mailing address
3651 CORTEZ RD W SUITE 100, BRADENTON, FL 34210-3467
(941) 748-6161
(941) 761-4478
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
ME60728
FL
208D00000X
General Practice Physician
Primary
ME0060728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12891
BCBS
FL
01
—
160015194
RAILROADL MEDICARE
FL
Enumeration date
07/14/2006
Last updated
08/01/2019
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