Individual
JESS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
Mailing address
2240 CALLAWAY CT, DAVENPORT, FL 33837-1732
(423) 202-6069
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
OS15976
FL
Other
Enumeration date
05/23/2014
Last updated
08/26/2021
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