MEDICARE: SETH H BAKER DO

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	207R00000X	Internal Medicine Physician	OS-0007156	FL
2	207RC0000X	Cardiovascular Disease Physician	OS0007156	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	57322	OTHER	FL	BCBS FL PROVIDER NUMBER

General Provider Information

NPI Number	:	1447225214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SETH H BAKER DO

Provider Business Mailing Address
First Line	:	1255 37TH ST STE D
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6550
Country	:	US
Telephone Number	:	772-774-7300
Fax Number	:	772-494-7677

Provider Business Practice Location Address
First Line	:	1255 37TH ST STE D
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6550
Country	:	US
Telephone Number	:	772-774-7300
Fax Number	:	772-494-7677

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	04/20/2021

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Directions to “ SETH H BAKER DO” Practice Location

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