Doctor Name: | MS. BARBARA A BAYKO |
NPI Number: | 1174660476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C. |
License Number: | PA 9102356 |
Business Practice Address: | 463832 State Road 200 Yulee, FL - 320973638 |
Business Phone Number: | 9042252311 |
Business Fax Number: | 9042258481 |
Mailing Address: | Po Box 44004, JACKSONVILLE |
State: | FL |
Postal Code: | 322314004 |
Phone Number: | 9042021032 |
Fax Number: | 9042258481 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA 9102356 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |