Jacqueline Baker's National Provider Identifier (NPI) Details
Jacqueline Baker, Registered IMH14441
NPI: 1326415662
Enumeration Date: 2015-08-21
Last updated: 2018-03-29
Sole Proprietor: YES
Status: active
Postal Address: 3601 W COMMERCIAL BLVD STE 35, FORT LAUDERDALE, FL
Phone: 954-677-8787
Primary Practice Address: 580 ELLIS RD S, JACKSONVILLE, FL
Practice's phone: 904-423-0017