MEDICARE: ANN MARIE PEREZ M.S. CCC-SLP

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	SZ6008	FL
2	235Z00000X	Speech-Language Pathologist	SA12379	FL

General Provider Information

NPI Number	:	1972851319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MARIE PEREZ M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	8315 SW 206TH TER
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-2627
Country	:	US
Telephone Number	:	305-790-1915
Fax Number	:

Provider Business Practice Location Address
First Line	:	7800 S RED RD STE 205
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5542
Country	:	US
Telephone Number	:	305-854-2471
Fax Number	:

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

Provider Enumeration Date	:	08/15/2012
Last Update Date	:	03/15/2023

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Directions to “ ANN MARIE PEREZ M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

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