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General NPI Number Information
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NPI Number | 1245884535
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Entity Type | Organization
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Legal Business Name | BAKER MEDICAL LLC
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 959 WEST AVE STE 17
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City | MIAMI BEACH
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State | FL
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Zip | 33139-5214
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Country | US
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Telephone | 786-490-6200
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Fax | 954-634-4293
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Provider Business Mailing Address
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Address Line | 18473 SW 89TH PL
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City | MIAMI
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State | FL
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Zip | 33157-7162
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Country | US
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Telephone | 786-490-6200
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Fax | 954-634-4293
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY T BAKER
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Credential | DO
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Telephone | 786-490-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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