| Damon Lamar Baker, APRN | |
|
12533 Sampson Rd, Jacksonville, Fl, FL 32218 | |
| (904) 631-5019 | |
| Not Available |
| Full Name | Damon Lamar Baker |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 12533 Sampson Rd, Jacksonville, Fl, Florida |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629684170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11007328 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pcma Palliative Division Llc | 1456613637 | 72 |
| Entity Name | Hcr Manorcare Medical Services of Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386750420 PECOS PAC ID: 2264338532 Enrollment ID: O20050413000643 |
| Entity Name | Hni Medical Services of Florida, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
| Entity Name | Pcma Palliative Division LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629585054 PECOS PAC ID: 1456613637 Enrollment ID: O20210421001740 |
| Entity Name | West Coast Wound and Skin Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437675980 PECOS PAC ID: 7315212834 Enrollment ID: O20230223003093 |
| Entity Name | Illumia Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972341147 PECOS PAC ID: 7810424306 Enrollment ID: O20250327003580 |
| Mailing Address | Practice Location Address |
|---|---|
| Damon Lamar Baker, APRN 12533 Sampson Rd, Jacksonville, Fl, FL 32218 Ph: (904) 631-5019 | Damon Lamar Baker, APRN 12533 Sampson Rd, Jacksonville, Fl, FL 32218 Ph: (904) 631-5019 |