NPI 1003009291

Baker Community Medical Practice INC

Organisation Clinic/Center Macclenny, FL

Practice location

Address: 159 N 3rd St, Macclenny, FL 32063-2103
Phone: (904) 259-3151
Fax: (904) 259-3279

Authorised official

Name: Dennis Ray Markos
Title: Chief Executive Officer
Phone: (904) 259-3151

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Florida →

Registry record

NPI: 1003009291
Entity type: Organization
NPI issued: 22 Aug 2007
Record last updated: 22 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.