Baker, Scott B

Baker, Scott B is an individual health care provider with primary practice located at 3550 University Blvd S Ste 302, Jacksonville FL 32216-4225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Baker, Scott B can be contacted via phone (904) 733-4444.

Contact Information

Primary practice address
3550 University Blvd S Ste 302 Jacksonville FL 32216-4225
Fax: (904) 733-5377
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME 35731 Florida

Profile Details

NPI number 1336143957
LBN Legal business name Baker, Scott B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Aug 9th, 2012 - about 12 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 1336143957 NPPES
Georgia MEDICAID 00576881A
Georgia Other 4047704
Georgia MEDICAID 068336100
Georgia Other 060013145
Georgia Other 102435
Georgia Other 79805

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