Individual
NICOLE JOY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5002 W LEMON ST, TAMPA, FL 33609-1104
(813) 286-0033
(813) 282-1806
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0333
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301114765
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
ME157387
FL
390200000X
Student in an Organized Health Care Education/Training Program
4301114765
MI
Other
Enumeration date
06/06/2018
Last updated
06/22/2023
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