Individual
MRS. ELIZABETH HUNT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-2285
(386) 425-7522
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-0141
(386) 226-4577
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S95424054
TRICARE
FL
Enumeration date
03/09/2006
Last updated
05/13/2019
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