MEDICARE: BUILDING BLOCKS REAB, INC.

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	SA 7607	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1568553618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUILDING BLOCKS REAB, INC.

Provider Business Mailing Address
First Line	:	2233 CALAIS DR APT 32D
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-3410
Country	:	US
Telephone Number	:	305-409-2019
Fax Number	:	305-867-8686

Provider Business Practice Location Address
First Line	:	2233 CALAIS DR APT 32D
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-3410
Country	:	US
Telephone Number	:	305-409-2019
Fax Number	:	305-867-8686

Authorized Official
Title or Position	:	SPEECH PATHOLOGIST
Name	:	MISS JESSICA PAZ
Credential	:	MA CCC-SLP
Telephone Number	:	305-409-2019

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	09/03/2009

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Directions to “BUILDING BLOCKS REAB, INC. ” Practice Location

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