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NPI Code Detail

MEDICARE: NUBE ROSA ESCOBAR RODRIGUEZ AU.D.

MEDICARE: NUBE ROSA ESCOBAR RODRIGUEZ AU.D.
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
1231H00000XAudiologist002918NY
2235Z00000XSpeech-Language PathologistNY
3235Z00000XSpeech-Language Pathologist018842NY
4235Z00000XSpeech-Language PathologistSA 11439FL
5231H00000XAudiologist761FL

General Provider Information

NPI Number : 1821233032
Entity Type Code : Individual
Provider Name (Legal Business Name) : NUBE ROSA ESCOBAR RODRIGUEZ AU.D.
Provider Business Mailing Address
First Line : 13859 MASKAWA AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7599
Country : US
Telephone Number : 631-612-8437
Fax Number :
Provider Business Practice Location Address
First Line : 3270 GREENWALD WAY N
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-0728
Country : US
Telephone Number : 631-612-8437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2008
Last Update Date : 03/04/2020

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