Provider Demographics
NPI:1447225214
Name:BAKER, SETH H (DO)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:H
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 1:1255 37TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-6550
Mailing Address - Country:US
Mailing Address - Phone:772-774-7300
Mailing Address - Fax:772-494-7677
Practice Address - Street 1:1255 37TH ST STE D
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6550
Practice Address - Country:US
Practice Address - Phone:772-774-7300
Practice Address - Fax:772-494-7677
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS-0007156207R00000X
FLOS0007156207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL57322OtherBCBS FL PROVIDER NUMBER
FL57322OtherBCBS FL PROVIDER NUMBER
FL57322ZMedicare PIN
FLP00458648Medicare PIN