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NPI Code Detail

MEDICARE: YOUTH CO-OP INC.

MEDICARE: YOUTH CO-OP 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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1598091860
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUTH CO-OP INC.
Provider Business Mailing Address
First Line : 12051 W OKEECHOBEE RD
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33018-2933
Country : US
Telephone Number : 305-819-8855
Fax Number : 305-819-8455
Provider Business Practice Location Address
First Line : 12051 W OKEECHOBEE RD
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33018-2933
Country : US
Telephone Number : 305-819-8855
Fax Number : 305-819-8455
Authorized Official
Title or Position : ASSISTANT PRINCIPAL
Name : TOBIAS HERNANDEZ
Credential :
Telephone Number : 305-819-8855
Provider Enumeration Date : 10/21/2009
Last Update Date : 10/21/2009

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Directions to “YOUTH CO-OP INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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