Organization · NPI-2
Baker Medical LLC
Family Medicine · Miami Beach, FL
NPI number1245884535
StatusActive
Last updated in NPPESMar 4, 2025
Details
- NPI
- 1245884535
- Entity type
- Organization (NPI-2)
- Legal business name
- Baker Medical LLC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2019
- Certification date
- Mar 4, 2025
- Last updated
- Mar 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Other names
- Optimized Health (Doing Business As)
- Baker Medical LLC (Former Legal Business Name)
Practice location
959 West Ave Ste 17Miami Beach, FL 33139-5214
Phone 786-490-6200 · Fax 954-634-4293
Mailing address
18473 Sw 89th PlMiami, FL 33157-7162
Phone 786-490-6200 · Fax 954-634-4293
Authorized official
Jeffrey T Baker
Owner
7864906200
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