Healthcare Provider Details

I. General information

NPI: 1649135807
Provider Name (Legal Business Name): SMART ARCADE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15221 MENTEITH PL
MIAMI LAKES FL
33016-1436
US

IV. Provider business mailing address

15221 MENTEITH PL
MIAMI LAKES FL
33016-1436
US

V. Phone/Fax

Practice location:
  • Phone: 786-877-5162
  • Fax:
Mailing address:
  • Phone: 786-877-5162
  • 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: MELANIE FOSTER
Title or Position: OWNER
Credential: MS, CCC-SLP
Phone: 786-877-5162