Individual
MS. ANNETTE MARIE BAERGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP, CCC
Contact information
Practice address
324 PERFECT DR, DAYTONA BEACH, FL 32124-2067
(407) 600-4464
Mailing address
324 PERFECT DR, DAYTONA BEACH, FL 32124-2067
(407) 600-4464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12121894
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5388
—
FL
01
—
5A9198
DEPARTMENT OF HEALTH
FL
Enumeration date
11/05/2008
Last updated
12/05/2019
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