MEDICARE: MY BIG WORLD,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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PTA-FL 032A	OTHER	FL	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1770810566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY BIG WORLD,INC

Provider Business Mailing Address
First Line	:	8785 SW 165TH AVE STE 101
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-5827
Country	:	US
Telephone Number	:	305-388-0004
Fax Number	:	305-388-8009

Provider Business Practice Location Address
First Line	:	8785 SW 165TH AVE STE 101
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-5827
Country	:	US
Telephone Number	:	305-388-0004
Fax Number	:	305-388-8009

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	MS. MARLENE TAPANES
Credential	:	BA,SLPA,ITDS
Telephone Number	:	305-766-7378

Provider Enumeration Date	:	11/16/2009
Last Update Date	:	08/28/2024

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Directions to “MY BIG WORLD,INC ” Practice Location

Language	Start Address	Practice Location

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