Organization
JAMES D. BAKER III, M.D., PA
Active
Other names
Nephrology Associates Of Northeast Florida
Organization subpart
No
Provider details
NPI number
Authorized official
RAMESH M KOTIHAL M.D. (PRESIDENT AND TREASURER)
(904) 389-5333
Entity
Organization
Contact information
Practice address
2 SHIRCLIFF WAY, SUITE 700 DEPAUL BLDG., JACKSONVILLE, FL 32204
(904) 389-5333
(904) 389-5332
Mailing address
2 SHIRCLIFF WAY, SUITE 700 DEPAUL BLDG., JACKSONVILLE, FL 32204
(904) 389-5333
(904) 389-5332
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J33212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103412400
—
FL
05
—
269053500
—
FL
Enumeration date
07/09/2006
Last updated
03/31/2020
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