Healthcare Provider Details

I. General information

NPI: 1972484798
Provider Name (Legal Business Name): JULIANA MAIA SCHLAEN MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6705 S RED RD STE 706
SOUTH MIAMI FL
33143-3652
US

IV. Provider business mailing address

15280 NW 79TH CT STE 200
MIAMI LAKES FL
33016-5873
US

V. Phone/Fax

Practice location:
  • Phone: 305-667-4515
  • Fax:
Mailing address:
  • Phone: 305-558-3724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ12891
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: