Individual
TYLER COURTNEY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4626 CLYDE MORRIS BLVD S STE 1, PORT ORANGE, FL 32129-6402
(386) 492-2444
Mailing address
4626 CLYDE MORRIS BLVD STE 1, PORT ORANGE, FL 32129-6402
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5278
FL
Other
Enumeration date
02/09/2019
Last updated
02/09/2019
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