Healthcare Provider Details

I. General information

NPI: 1053972513
Provider Name (Legal Business Name): KARINA TOIRAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 06/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8590 SW 40TH ST
MIAMI FL
33155-3214
US

IV. Provider business mailing address

20402 SW 324TH ST
HOMESTEAD FL
33030-2627
US

V. Phone/Fax

Practice location:
  • Phone: 305-266-5353
  • 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 StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: