Healthcare Provider Details

I. General information

NPI: 1992616668
Provider Name (Legal Business Name): AP SPEECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8491 NW 17TH ST FL 33126
DORAL FL
33126-1025
US

IV. Provider business mailing address

16922 SW 35TH ST
MIRAMAR FL
33027-4544
US

V. Phone/Fax

Practice location:
  • Phone: 130-545-6554
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AIDE ROSE POLANCO
Title or Position: OWNER
Credential: SPEECH-LANGUAGE PATH
Phone: 786-459-2459