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NPI Code Detail

MEDICARE: JOSHUA BAEZ SANTIAGO

MEDICARE: JOSHUA BAEZ SANTIAGO
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1326603903
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA BAEZ SANTIAGO
Provider Business Mailing Address
First Line : 6279 BENT PINE DR APT 1331A
Second Line :
City : ORLANDO
State : FL
Zip : 32822-4990
Country : US
Telephone Number : 787-533-6244
Fax Number :
Provider Business Practice Location Address
First Line : 1150 S SEMORAN BLVD STE A
Second Line :
City : ORLANDO
State : FL
Zip : 32807-1424
Country : US
Telephone Number : 407-704-7811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2019
Last Update Date : 07/26/2021

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Directions to “ JOSHUA BAEZ SANTIAGO ” Practice Location

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