MEDICARE: MRS. NAKIA TAMIKA TAYLOR DAILEY MS, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA12451	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750861399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NAKIA TAMIKA TAYLOR DAILEY MS, CCC-SLP

Provider Business Mailing Address
First Line	:	113 GULF TERRACE LN
Second Line	:
City	:	PORT SAINT JOE
State	:	FL
Zip	:	32456-4745
Country	:	US
Telephone Number	:	561-351-8741
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 GULF TERRACE LN
Second Line	:
City	:	PORT SAINT JOE
State	:	FL
Zip	:	32456-4745
Country	:	US
Telephone Number	:	561-351-8741
Fax Number	:	850-743-4088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2018
Last Update Date	:	11/11/2022

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