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NPI Code Detail

MEDICARE: ESTHER G LYTZYNCO PALACIYO SLP

MEDICARE: ESTHER G LYTZYNCO PALACIYO 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
1235Z00000XSpeech-Language Pathologist9163FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396961314
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER G LYTZYNCO PALACIYO SLP
Provider Business Mailing Address
First Line : 2001 S ANDREWS AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-3429
Country : US
Telephone Number : 786-494-0191
Fax Number :
Provider Business Practice Location Address
First Line : 2001 S ANDREWS AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-3429
Country : US
Telephone Number : 786-394-0191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2007
Last Update Date : 02/06/2023

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Directions to “ ESTHER G LYTZYNCO PALACIYO SLP” Practice Location

Language Start Address Practice Location
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