Individual
GEORGE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1528 DEL PRADO BLVD S, CAPE CORAL, FL 33990-3798
(239) 458-3338
(239) 458-0666
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3058
FL
363AM0700X
Medical Physician Assistant
PA3058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291203100
—
FL
Enumeration date
05/16/2006
Last updated
01/20/2023
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