Most Relevant Information
Provider Data
| NPI Number: | 1003283128 |
| Provider Name: | MARIAM BAEZ CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SA15253 |
Most Important Dates
| Enumeration Date: | 08/24/2015 |
| Last Updated: | 01/19/2024 |
Provider Practice Location
427 BURNS AVE
LAKE WALES
FL
338533314
Practice Location Phone/Fax
| Phone: | 8636793338 |
| Fax: |
Provider Mailing Location
427 BURNS AVE
LAKE WALES
FL
338533314
Provider Mailing Phone/Fax
| Phone: | 8636793338 |
| Fax: |