NPI 1053614941

Thomas W Baird D C P a

Organisation Exclusive Provider Organization Orange Park, FL

Practice location

Address: 1820 Park Ave, Orange Park, FL 32073-4913
Phone: (904) 264-2988
Fax: (904) 264-9374

Authorised official

Name: Thomas W Baird
Title: Owner
Phone: (904) 264-2988

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence CH2410 (FL)

Other Exclusive Provider Organization providers in Florida →

Registry record

NPI: 1053614941
Entity type: Organization
NPI issued: 15 Dec 2010
Record last updated: 15 Dec 2010

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.