Baker, Mark Douglas

Baker, Mark Douglas is an individual health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Baker, Mark Douglas can be contacted via phone (727) 767-8480.

Contact Information

Primary practice address
501 6Th Ave S St Petersburg FL 33701
Phone: (727) 767-8480
Fax: (727) 767-8420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X ME136774 Florida

Profile Details

NPI number 1568445872
LBN Legal business name Baker, Mark Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 17th, 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 1568445872 NPPES
Maryland MEDICAID 352281401
Maryland MEDICAID PENDING

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