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Individual

DR. JEFFREY BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5821 N LAGOON DR, PANAMA CITY BEACH, FL 32408-3706
(850) 258-4048
(850) 236-6400
Mailing address
5821 N LAGOON DR, PANAMA CITY BEACH, FL 32408-3706
(850) 258-4048
(850) 236-6400

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
OS0008280
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261024800
FL
01
58665
BCBS
FL
01
930125555
RRMCR
FL
Enumeration date
01/04/2006
Last updated
02/19/2008
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