Provider Demographics
NPI:1508033838
Name:BAKER, RHONDA MICHELLE (PHARMD, MBA, NPH)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:MICHELLE
Last Name:BAKER
Suffix:
Gender:F
Credentials:PHARMD, MBA, NPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 BARBADOS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33905-2035
Mailing Address - Country:US
Mailing Address - Phone:239-694-1904
Mailing Address - Fax:
Practice Address - Street 1:2107 BARBADOS AVE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-2035
Practice Address - Country:US
Practice Address - Phone:239-694-1904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS33778183500000X, 1835P0018X
FLNP3691835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835N0905XPharmacy Service ProvidersPharmacistNuclear
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist