Healthcare Provider Details

I. General information

NPI: 1457792079
Provider Name (Legal Business Name): JULIA DOROTHY GERHARD SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2013
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 NW 14TH ST
MIAMI FL
33136-2107
US

IV. Provider business mailing address

1120 NW 14TH ST
MIAMI FL
33136-2107
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-3564
  • Fax: 305-243-2009
Mailing address:
  • Phone: 305-243-3564
  • Fax: 305-243-2009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA12357
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: