NPI | 1891940599 |
---|---|
Doing Business As | FLORIDA BAKER |
Entity Type | Organization |
Authorized Contact | FLORIDA LEA BAKER Owner 225-926-1990 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2008-11-21 |
Last Update Date | 2008-11-21 |