Provider Demographics
NPI:1396298295
Name:BAKER, NATOY
Entity type:Individual
Prefix:
First Name:NATOY
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5672 PINE CHASE DR
Mailing Address - Street 2:6
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-4363
Mailing Address - Country:US
Mailing Address - Phone:407-459-5086
Mailing Address - Fax:
Practice Address - Street 1:5672 PINE CHASE DR
Practice Address - Street 2:6
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-4363
Practice Address - Country:US
Practice Address - Phone:407-459-5086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA133376251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health