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Robert Alan Baker, MD

Dermatology in Jacksonville, FL. Individual provider (NPI-1).

NPI number1124063391
StatusActive
Last updated in NPPESJun 22, 2015

Details

NPI
1124063391
Entity type
Individual (NPI-1)
Name
Robert Alan Baker
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 19, 2006
Last updated
Jun 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyME0030503FLYes

Practice location

11701-32 San Jose Blvd
Suite 216
Jacksonville, FL 32223

Phone 904-880-5888 · Fax 904-880-0011

Mailing address

11701 32 San Jose Blvd
Suite 216
Jacksonville, FL 32223-0756

Phone 904-880-5888 · Fax 904-880-0011

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