MEDICARE: JOHN E BAKER M. D.

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	207X00000X	Orthopaedic Surgery Physician	ME86962	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609841287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN E BAKER M. D.

Provider Business Mailing Address
First Line	:	190 CONGRESS PARK DR
Second Line	:	STE 160
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4707
Country	:	US
Telephone Number	:	561-330-4358
Fax Number	:	561-330-4390

Provider Business Practice Location Address
First Line	:	190 CONGRESS PARK DR STE 160
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4707
Country	:	US
Telephone Number	:	561-330-4358
Fax Number	:	561-330-4390

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

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	08/10/2017

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