Doctor Name: | PATRICIA J BAKER |
NPI Number: | 1154643138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | H.A.S |
License Number: | AT 4622 |
Business Practice Address: | 1555 Atlantic Blvd Neptune Beach, FL - 322661717 |
Business Phone Number: | 9042410327 |
Business Fax Number: | 9042410311 |
Mailing Address: | 20 Corona Ct, PALM COAST |
State: | FL |
Postal Code: | 321379021 |
Phone Number: | 3865972134 |
Fax Number: | 3865792190 |
NPI Enumeration Date: | 02/18/2010 |
NPI Last Update Date: | 02/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | AT 4622 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |