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Contact Information

JASON E BAKER DDS LLC
77 SOUTH SHORE DRIVE
MIRAMAR BEACH, FL32550
 Phone: 850-650-2070
 Fax: 850-650-2073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JASON E BAKER DDS LLC

NPI Number 1093051344
LBN Legal business name JASON E BAKER DDS LLC
Authorized official DANIELLE DAUGHERTY - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2012
Last updated 06/30/2015 - About 11 years ago
Identifiers
FL License # 17784
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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