MEDICARE: MICHAEL CURTIS 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	208000000X	Pediatrics Physician	ME 82068	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	277033	OTHER	FL	AVMED PROVIDER ID
2	4543603	OTHER	FL	AETNA PROVIDER ID
3	5789736-007	OTHER	FL	CIGNA PROVIDER ID
4	01857	OTHER	FL	BCBS PROVIDER ID
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760483911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL CURTIS BAKER M.D.

Provider Business Mailing Address
First Line	:	1502 N DONNELLY ST
Second Line	:	STE 103
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-2846
Country	:	US
Telephone Number	:	352-383-0624
Fax Number	:	352-383-0758

Provider Business Practice Location Address
First Line	:	1502 N DONNELLY ST
Second Line	:	STE 103
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-2846
Country	:	US
Telephone Number	:	352-383-0624
Fax Number	:	352-383-0758

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	03/07/2023

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Directions to “ MICHAEL CURTIS BAKER M.D.” Practice Location

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