MEDICARE: MICAELA SACCHI JEZIORSKI

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

General Provider Information

NPI Number	:	1669328233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICAELA SACCHI JEZIORSKI

Provider Business Mailing Address
First Line	:	851 SW MUNJACK CIR
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34986-3458
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 SW MUNJACK CIR
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34986-3458
Country	:	US
Telephone Number	:	561-543-8191
Fax Number	:

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ MICAELA SACCHI JEZIORSKI ” Practice Location

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