Provider Demographics
NPI:1114786787
Name:BAKER, JOSHUA MARK (DO)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:MARK
Last Name:BAKER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11880 BIRD RD STE 416
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3575
Mailing Address - Country:US
Mailing Address - Phone:786-315-5925
Mailing Address - Fax:
Practice Address - Street 1:11880 BIRD RD STE 416
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3575
Practice Address - Country:US
Practice Address - Phone:786-315-5925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program