Provider Demographics
NPI:1265470066
Name:BAKER, JAMES DUNCAN III (MD, PA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DUNCAN
Last Name:BAKER
Suffix:III
Gender:M
Credentials:MD, PA
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Other - Middle Name:
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Mailing Address - Street 1:2 SHIRCLIFF WAY
Mailing Address - Street 2:STE 700 DEPAUL BLDG.
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-4763
Mailing Address - Country:US
Mailing Address - Phone:904-389-5333
Mailing Address - Fax:904-389-5332
Practice Address - Street 1:2 SHIRCLIFF WAY
Practice Address - Street 2:STE 700 DEPAUL BLDG.
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4763
Practice Address - Country:US
Practice Address - Phone:904-389-5333
Practice Address - Fax:904-389-5332
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2016-12-30
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Provider Licenses
StateLicense IDTaxonomies
FLME41944207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL067623300Medicaid
FL067623300Medicaid
FL15789YMedicare PIN