Healthcare Provider Details

I. General information

NPI: 1679633770
Provider Name (Legal Business Name): HEARING AND SPEECH CENTER OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 03/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9425 SW 72ND ST SUITE# 261
MIAMI FL
33173-3251
US

IV. Provider business mailing address

9425 SW 72ND ST SUITE# 261
MIAMI FL
33173-3251
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-7343
  • Fax: 305-271-7949
Mailing address:
  • Phone: 305-271-7343
  • Fax: 305-271-7949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateFL

VIII. Authorized Official

Name: MRS. NANCY BARRIOS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 305-271-7343