Baacke, Keri Ann

Baacke, Keri Ann is an individual health care provider with primary practice located at 2415 N Orange Ave Ste 402 , Orlando FL 32804-5505. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Baacke, Keri Ann can be contacted via phone (407) 622-0560.

Contact Information

Primary practice address
2415 N Orange Ave Ste 402 Orlando FL 32804-5505
Phone: (407) 622-0560
Fax: (407) 622-0563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME90465 Florida
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X ME90465 Florida

Profile Details

NPI number 1154366607
LBN Legal business name Baacke, Keri Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Mar 25th, 2019 - about 5 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 1154366607 NPPES
Florida MEDICAID 270175800

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