1902384340 NPI number — QIANA TELEA BAKER

Table of content: QIANA TELEA BAKER (NPI 1902384340)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902384340 NPI number — QIANA TELEA BAKER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAKER
Provider First Name:
QIANA
Provider Middle Name:
TELEA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902384340
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/02/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1153 CRANBERRY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BUSHKILL
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18324-7907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-200-7002
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2701 UNIVERSITY SQUARE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33612-5513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-610-0580
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/28/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 104520900 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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