Healthcare Provider Details

I. General information

NPI: 1316822851
Provider Name (Legal Business Name): FERNANDA LUCIA GIHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 OAKWOOD BLVD STE 130140
HOLLYWOOD FL
33020-1956
US

IV. Provider business mailing address

5500 LYONS RD APT 205
COCONUT CREEK FL
33073-2815
US

V. Phone/Fax

Practice location:
  • Phone: 954-925-3844
  • Fax:
Mailing address:
  • Phone: 954-865-9957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number7614
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: