Individual
SUSAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 NW 95TH ST, MIAMI, FL 33150-2038
(305) 835-4725
Mailing address
PO BOX 5040, HIALEAH, FL 33014-1040
(305) 503-6320
(305) 503-6329
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME46836
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME46836
FL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ME46836
FL
Other
Enumeration date
02/06/2006
Last updated
09/17/2007
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