Faith Baldwin Ploude, BA, RLC, IBCLC

Individual provider Active NPI Specialist · Miami-Dade, FL

NPI 1457590564 · NPPES record last updated Feb 17, 2009

Key facts

NPI
1457590564
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
Practice address
21780 SW 157 Avenue
Miami-Dade, FL 33170-2112
Phone
(305) 282-1975
Fax
(305) 248-8235
NPI assigned
Feb 12, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Yes

Addresses

Primary practice location

21780 SW 157 Avenue
Miami-Dade, FL 33170-2112

Mailing address

21780 SW 157 Avenue
Miami-Dade, FL 33170-2112
Phone (305) 282-1975

Other providers in Miami-Dade, FL

All providers in Miami-Dade, FL · Specialist in Florida

Sources for this page

Verify at the official NPI Registry.