Healthcare Provider Details

I. General information

NPI: 1780882050
Provider Name (Legal Business Name): LORY ANNE GIORGIONE PTA, SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2007
Last Update Date: 06/16/2022
Certification Date: 06/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 CORAL WAY STE 202
MIAMI FL
33145-3053
US

IV. Provider business mailing address

2640 SW 27TH CT
MIAMI FL
33133-3006
US

V. Phone/Fax

Practice location:
  • Phone: 305-856-1999
  • Fax:
Mailing address:
  • Phone: 305-342-0963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberPTA18652
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License NumberPTA18652
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI4360
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10595
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: