Individual
MS. ELIZABETH MARIAN BAIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
1950 SE PORT ST LUCIE BLVD STE 202, PORT SAINT LUCIE, FL 34952-5578
(772) 453-5095
Mailing address
PO BOX 8173, PORT SAINT LUCIE, FL 34985-8173
(772) 453-5095
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
233148
FL
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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