Individual
CHAD BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC 21, TAMPA, FL 33612-4742
(813) 974-4835
(813) 974-5621
Mailing address
12901 BRUCE B DOWNS BLVD, MDC 21, TAMPA, FL 33612-4742
(813) 974-4835
(813) 974-5621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-054586
IL
207W00000X
Ophthalmology Physician
Primary
ME112395
FL
Other
Enumeration date
06/19/2008
Last updated
06/25/2012
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