Provider Demographics
NPI:1740392935
Name:ELWICK, DAISY (AUD, F-AAA)
Entity Type:Individual
Prefix:DR
First Name:DAISY
Middle Name:
Last Name:ELWICK
Suffix:
Gender:F
Credentials:AUD, F-AAA
Other - Prefix:DR
Other - First Name:DASIY
Other - Middle Name:ELWICK
Other - Last Name:CAMINERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:9150 SW 87TH AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2311
Mailing Address - Country:US
Mailing Address - Phone:305-595-1530
Mailing Address - Fax:305-595-1574
Practice Address - Street 1:9150 SW 87TH AVE STE 103
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2311
Practice Address - Country:US
Practice Address - Phone:305-595-1530
Practice Address - Fax:305-595-1574
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2221237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWAU2452AMedicare PIN