Provider Demographics
NPI:1073929303
Name:BARONI, JAMIE M (HAS)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:M
Last Name:BARONI
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2194 MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-5696
Mailing Address - Country:US
Mailing Address - Phone:727-733-2625
Mailing Address - Fax:
Practice Address - Street 1:2194 MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5696
Practice Address - Country:US
Practice Address - Phone:727-733-2625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4307237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist