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Organization

PEDIATRIC GROUP

Active
Other names
Future Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AHMED M BAKER M.D. (PHYSICIAN)
(850) 767-4777
Entity
Organization

Contact information

Practice address
2420 JENKS AVE UNIT 3, PANAMA CITY, FL 32405-4910
(850) 767-4777
(850) 763-4988
Mailing address
PO BOX 1430, LYNN HAVEN, FL 32444-6230
(850) 767-4777
(850) 763-4988

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME92242
FL

Other

Enumeration date
09/28/2010
Last updated
09/28/2010
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