Baez, Mariam

Baez, Mariam is an individual health care provider with primary practice located at 427 Burns Ave , Lake Wales FL 33853-3314. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Baez, Mariam can be contacted via phone (863) 679-3338.

Contact Information

Primary practice address
427 Burns Ave Lake Wales FL 33853-3314
Phone: (863) 679-3338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA15253 Florida

Profile Details

NPI number 1003283128
LBN Legal business name Baez, Mariam
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2015
Last updated Jan 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003283128 NPPES
Florida MEDICAID 015667300

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