NPI 1124063391 · live from the CMS NPI Registry
Robert Alan Baker, MD
Dermatology in Jacksonville, FL. National Provider Identifier 1124063391, active.
NPI record
| NPI | 1124063391 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 11701-32 San Jose Blvd, Suite 216, Jacksonville, FL 32223 |
| Practice phone | 904-880-5888 |
| Mailing address | 11701 32 San Jose Blvd, Suite 216, Jacksonville, FL 32223 |
| Enumerated | June 19, 2006 |
| Last updated | June 22, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | ME0030503 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.