MEDICARE: MS. DANA A BLAIR M.S., SLP-CF

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	SZ6065	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	:	1780938076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA A BLAIR M.S., SLP-CF

Provider Business Mailing Address
First Line	:	3000 CORAL WAY
Second Line	:	APT 808
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3243
Country	:	US
Telephone Number	:	917-620-2855
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 CORAL WAY
Second Line	:	APT 808
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3243
Country	:	US
Telephone Number	:	917-620-2855
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2012
Last Update Date	:	11/08/2012

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Directions to “ MS. DANA A BLAIR M.S., SLP-CF” Practice Location

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