Blaya, Maike Tiede
Blaya, Maike Tiede is an individual health care provider with primary practice located at 1150 N 35Th Ave Ste 590 , Hollywood FL 33021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Blaya, Maike Tiede can be contacted via phone (954) 265-9500.Contact Information
Primary practice address
1150 N 35Th Ave Ste 590
Hollywood FL 33021
Phone: (954) 265-9500
Fax: (954) 265-1431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME124225 | Florida |
Profile Details
| NPI number | 1750583126 |
|---|---|
| LBN Legal business name | Blaya, Maike Tiede |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Mar 12th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750583126 | NPPES |
| Florida | MEDICAID | 014949100 |
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