Doctor Name: | DR. DENISE L BAKER |
NPI Number: | 1386660298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME0060728 |
Business Practice Address: | 3651 Cortez Rd W Ste 100 Bradenton, FL - 342103167 |
Business Phone Number: | 9417486161 |
Business Fax Number: | 9417614478 |
Mailing Address: | 515 9th St E, Suite 100 BRADENTON |
State: | FL |
Postal Code: | 342082027 |
Phone Number: | 9417486161 |
Fax Number: | 9417614478 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 03/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0060728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |