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NPI Code Detail

MEDICARE: STEPHANIE EISEN GILFARB MS, CCC-SLP

MEDICARE:   STEPHANIE EISEN GILFARB  MS, CCC-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 PathologistSA1294FL

Other Identifiers

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

General Provider Information

NPI Number : 1457368979
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE EISEN GILFARB MS, CCC-SLP
Provider Business Mailing Address
First Line : 4301 S FLAMINGO RD
Second Line : SUITE 101
City : DAVIE
State : FL
Zip : 33330-1902
Country : US
Telephone Number : 786-301-5709
Fax Number :
Provider Business Practice Location Address
First Line : 4301 S FLAMINGO RD
Second Line : SUITE 101
City : DAVIE
State : FL
Zip : 33330-1902
Country : US
Telephone Number : 786-301-5709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 02/08/2022

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Directions to “ STEPHANIE EISEN GILFARB MS, CCC-SLP” Practice Location

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