MEDICARE: ERICA LYNN HOPE M.S., CF-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SZ10258	FL

General Provider Information

NPI Number	:	1295402527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA LYNN HOPE M.S., CF-SLP

Provider Business Mailing Address
First Line	:	1242 S PINE ISLAND RD APT 413
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-4570
Country	:	US
Telephone Number	:	561-693-9159
Fax Number	:

Provider Business Practice Location Address
First Line	:	1825 N PINE ISLAND RD
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-5207
Country	:	US
Telephone Number	:	954-900-2594
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2021
Last Update Date	:	08/25/2021

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