| 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 |