Individual
RYAN ALLEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1854 OAK GROVE BLVD, LUTZ, FL 33559-8605
(813) 948-6133
(813) 948-3460
Mailing address
4033 TAMPA RD STE 101, OLDSMAR, FL 34677-3224
(813) 854-2003
(813) 436-5378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
40493
SC
208000000X
Pediatrics Physician
Primary
ME144985
FL
Other
Enumeration date
03/28/2014
Last updated
07/08/2020
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