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Individual

HOLLY J BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1901 FLOYD ST, SARASOTA, FL 34239-2932
(941) 366-9222
(941) 365-2269
Mailing address
13510 SAW PALM CREEK TRL, BRADENTON, FL 34211-2610
(716) 622-2166
(941) 365-2269

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
023494-1
NY
363AM0700X
Medical Physician Assistant
Primary
PA9117261
FL

Other

Enumeration date
01/26/2015
Last updated
05/08/2024
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