Baker, Robert Alan

Baker, Robert Alan is an sole proprietor health care provider with primary practice located at 11701-32 San Jose Blvd Suite 216, Jacksonville FL 32223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Baker, Robert Alan can be contacted via phone (904) 880-5888.

Contact Information

Primary practice address
11701-32 San Jose Blvd Suite 216 Jacksonville FL 32223
Phone: (904) 880-5888
Fax: (904) 880-0011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0030503 Florida

Profile Details

NPI number 1124063391
LBN Legal business name Baker, Robert Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2006
Last updated Jun 22nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124063391 NPPES
Florida MEDICAID 013893300
Florida Other 172926

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