DRS BAKER & GILMOUR MD PA NPI 1962555490

NPI Information

NPI: 1962555490
Provider Name: DRS BAKER & GILMOUR MD PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 10D1091486

Address:
12276 SAN JOSE BLVD
SUITE 617
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 880-0025
Get Directions

DRS BAKER & GILMOUR MD PA is a cardiovascular disease internal medicine in Jacksonville, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DRS BAKER & GILMOUR MD PA NPI is 1962555490. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12276 SAN JOSE BLVD
SUITE 617
JACKSONVILLE, FL
ZIP 32223-628
Phone: (904) 880-0025

The provider's authorized official is Jody Bostic .
The authorized official title is Practice Administrator and has the following contact phone number (904) 733-4444.

The CLIA number assigned to this NPI record is 10D1091486 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 9/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology			No
2	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	77241B	MEDICARE PIN	FLORIDA
2	252952100	MEDICAID	FLORIDA
3	77241	OTHER	FLORIDA	BCBS
4	CB1978	OTHER	FLORIDA	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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