De Jesus Baez, Tracy

De Jesus Baez, Tracy is an individual health care provider with primary practice located at 1401 S Federal Hwy , Fort Lauderdale FL 33316-2619. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. De Jesus Baez, Tracy can be contacted via phone (954) 728-1083.

Contact Information

Primary practice address
1401 S Federal Hwy Fort Lauderdale FL 33316-2619
Phone: (954) 728-1083
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1073010385
LBN Legal business name De Jesus Baez, Tracy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2018
Last updated Mar 26th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073010385 NPPES
Florida MEDICAID 105598700

Popular Providers