Healthcare Provider Details

I. General information

NPI: 1902605157
Provider Name (Legal Business Name): BRIANA BYRTUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8177 GLADES RD STE 202
BOCA RATON FL
33434-4022
US

IV. Provider business mailing address

7125 SW 42ND PL
DAVIE FL
33314-3144
US

V. Phone/Fax

Practice location:
  • Phone: 561-270-4433
  • Fax: 561-931-4242
Mailing address:
  • Phone: 754-971-1626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSI7512
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: