Healthcare Provider Details
I. General information
NPI: 1003615022
Provider Name (Legal Business Name): SYDNI SYKES CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
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
7791 NW 46TH ST STE 210
DORAL FL
33166-5482
US
IV. Provider business mailing address
1251 SW 121ST AVE APT 1251
PEMBROKE PINES FL
33025-3767
US
V. Phone/Fax
- Phone: 305-878-0083
- Fax:
- Phone: 954-371-4662
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SZ12551 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: