Healthcare Provider Details

I. General information

NPI: 1639903230
Provider Name (Legal Business Name): MS. ESTHER MARIA BARONIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2024
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 N COURSE LN APT 210
POMPANO BEACH FL
33069-5432
US

IV. Provider business mailing address

1717 HOMEWOOD BLVD
DELRAY BEACH FL
33445-6876
US

V. Phone/Fax

Practice location:
  • Phone: 305-746-1888
  • Fax:
Mailing address:
  • Phone: 561-272-9600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number1426
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: