Healthcare Provider Details

I. General information

NPI: 1356835649
Provider Name (Legal Business Name): DANIELLE PAUL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 SW 135TH AVE STE 211
MIAMI FL
33183-5101
US

IV. Provider business mailing address

7240 SUNSET DR
MIAMI FL
33143-4200
US

V. Phone/Fax

Practice location:
  • Phone: 305-746-4507
  • Fax:
Mailing address:
  • Phone: 786-395-6567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number21567
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: