Healthcare Provider Details

I. General information

NPI: 1952131005
Provider Name (Legal Business Name): OLIVIA ALLYN RHOADS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2024
Last Update Date: 08/05/2024
Certification Date: 08/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 SW 1ST ST
MIAMI FL
33135-2202
US

IV. Provider business mailing address

950 SW 57TH AVE APT 529
WEST MIAMI FL
33144-5092
US

V. Phone/Fax

Practice location:
  • Phone: 305-541-3400
  • Fax:
Mailing address:
  • Phone: 904-923-7766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: