Sharkeith Baker
Individual provider Active NPI Adult Companion · Wimauma, FL
NPI 1134895444 · NPPES record last updated Aug 17, 2021
Key facts
- NPI
- 1134895444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 17152 Yellow Pine St
Wimauma, FL 33598-2514 - Phone
- (352) 214-3493
- NPI assigned
- Aug 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion |
372600000X | Yes |
Addresses
Primary practice location
17152 Yellow Pine St
Wimauma, FL 33598-2514
Mailing address
17152 Yellow Pine St
Wimauma, FL 33598-2514
Phone (352) 214-3493
Other providers in Wimauma, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.