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Individual

MICHAEL CURTIS BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1502 N DONNELLY ST, STE 103, MOUNT DORA, FL 32757-2846
(352) 383-0624
(352) 383-0758
Mailing address
1502 N DONNELLY ST, STE 103, MOUNT DORA, FL 32757-2846
(352) 383-0624
(352) 383-0758

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 82068
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01857
BCBS PROVIDER ID
FL
01
277033
AVMED PROVIDER ID
FL
01
4543603
AETNA PROVIDER ID
FL
01
5789736-007
CIGNA PROVIDER ID
FL
Enumeration date
08/09/2005
Last updated
03/07/2023
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