Harrison, Judy Baker
Harrison, Judy Baker is an individual health care provider with primary practice located at 820 Prudential Dr Suite 713, Jacksonville FL 32207-8210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Harrison, Judy Baker can be contacted via phone (904) 396-4369.Contact Information
Primary practice address
820 Prudential Dr Suite 713
Jacksonville FL 32207-8210
Phone: (904) 396-4369
Fax: (904) 346-0864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME38728 | Florida |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | ME38728 | Florida |
Profile Details
| NPI number | 1912974288 |
|---|---|
| LBN Legal business name | Harrison, Judy Baker |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2006 |
| Last updated | Apr 24th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912974288 | NPPES |
| Florida | MEDICAID | 042178200 | |
| Florida | Other | 10985 | |
| Florida | MEDICAID | 000930256B |
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