MEDICARE: ARYNA BAKER PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9118553	FL

General Provider Information

NPI Number	:	1407613417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARYNA BAKER PA

Provider Business Mailing Address
First Line	:	1443 SAN MARCO BLVD STE 101
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8535
Country	:	US
Telephone Number	:	904-253-6910
Fax Number	:	904-253-6964

Provider Business Practice Location Address
First Line	:	1370 13TH AVE S STE 220
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3206
Country	:	US
Telephone Number	:	904-253-6910
Fax Number	:	904-253-6964

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	05/19/2026

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Directions to “ ARYNA BAKER PA” Practice Location

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