Individual
MR. CARMELO BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 MILLENIA BLVD STE 175-601, ORLANDO, FL 32839-6013
(321) 332-7100
Mailing address
4700 MILLENIA BLVD STE 175, ORLANDO, FL 32839-6015
(321) 332-7100
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
172V00000X
Community Health Worker
—
—
174400000X
Specialist
—
—
Other
Enumeration date
11/29/2018
Last updated
04/16/2020
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