Healthcare Provider Details

I. General information

NPI: 1710824743
Provider Name (Legal Business Name): MARIA MUSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12401 SW 134TH CT STE 7
MIAMI FL
33186-6414
US

IV. Provider business mailing address

19917 SW 123RD AVE
MIAMI FL
33177-4946
US

V. Phone/Fax

Practice location:
  • Phone: 305-964-7427
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: