Individual
DR. MARK BRADLEY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6043 WINTHROP COMMERCE AVE, SUITE 201, RIVERVIEW, FL 33578-4272
(813) 685-0827
(813) 655-4204
Mailing address
6043 WINTHROP COMMERCE AVE, SUITE 201, RIVERVIEW, FL 33578-4272
(813) 685-0827
(813) 655-4204
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME92552
FL
Other
Enumeration date
09/26/2005
Last updated
02/20/2014
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