Healthcare Provider Details

I. General information

NPI: 1629630256
Provider Name (Legal Business Name): JULIE ECHEANDIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2019
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 NW 41ST ST STE 200-47
DORAL FL
33166-6205
US

IV. Provider business mailing address

8200 NW 41ST ST STE 200-47
DORAL FL
33166-6205
US

V. Phone/Fax

Practice location:
  • Phone: 786-817-7444
  • Fax:
Mailing address:
  • Phone: 786-817-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA18243
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License NumberSA18243
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: