Individual
DAMON LAMAR BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
12533 SAMPSON RD, JACKSONVILLE, FL, FL 32218
(904) 631-5019
Mailing address
12533 SAMPSON RD, JACKSONVILLE, FL, FL 32218
(904) 631-5019
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11007328
FL
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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