Individual
DR. WILMOTH HENRY BAKER III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2173A CENTERVILLE PL, TALLAHASSEE, FL 32308-4356
(850) 385-0144
(850) 385-0146
Mailing address
PO BOX 452198, SUNRISE, FL 33345-2198
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME56076
FL
Other
Enumeration date
11/23/2005
Last updated
07/08/2007
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