Individual
BAKER A MITCHELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N RICHARD JACKSON BLVD STE 120, PANAMA CITY BEACH, FL 32407
(850) 226-6801
Mailing address
345 FLATWOODS FOREST LOOP, SANTA ROSA BEACH, FL 32459-8843
(210) 884-3779
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
254963
NY
207L00000X
Anesthesiology Physician
P1108
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME134995
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
P1108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286138701
—
TX
Enumeration date
07/28/2006
Last updated
01/31/2019
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