Individual
MR. PETE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2442 BLOOMINGDALE AVE, VALRICO, FL 33596-6403
(813) 586-8686
Mailing address
2442 BLOOMINGDALE AVE, VALRICO, FL 33596-6403
(813) 586-8686
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108060
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018545200
—
FL
Enumeration date
08/27/2014
Last updated
05/19/2023
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