KEITH A. BAKER, D.O., P.A.
Marriage and Family Therapists at 47 Ter, Cape Coral, FL

License number
Florida OS4653
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: KEITH A BAKER D.O.
Title: PRESIDENT
Phone: (239) 945-1910
Address
Address
418 SW 47Th Ter, Cape Coral, FL 33914
National Provider ID: 1043264245
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEITH A. BAKER, D.O., PA

Cape Coral, FL

Status:
Inactive
Industry:
Family Practice & Sports Medicine
Doing business as:
Keith A Baker D O PA<br>Keith Baker A D.O., PA<br>Laurel Oak Medical Associates<br>Keith Baker DO
Registration:
Oct 9, 1990
Phone:
(239) 945-1919 (Phone)
Addresses:
418 SW 47 Ter, Cape Coral, FL 33914 (Physical)
PO Box 152387, Cape Coral, FL 33915
State ID:
S05740
Business type:
Domestic for Profit Corporation
Medical Doctors:
Keith A Baker (President, Family Practitioner, Osteopathy, Secretary), 418 SW 47 Ter, Cape Coral, FL 33915 (Physical),Dennis D. Frink (Family Practitioner),Noel R. Dominguez Medical Doctor, inactive
Agent:
Keith A. Baker

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