Individual
HOWARD A BAKER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 HEALTHPARK BLVD, SUITE 1000, ST AUGUSTINE, FL 32086
(904) 810-1045
(904) 810-1046
Mailing address
PO BOX 348, ST AUGUSTINE, FL 32085-0348
(904) 810-1045
(904) 810-1046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME45744
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME45744
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0636515100
—
FL
01
—
P00429786
RAILROAD MEDICARE
FL
Enumeration date
02/22/2006
Last updated
05/23/2013
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