Healthcare Provider Details

I. General information

NPI: 1780825422
Provider Name (Legal Business Name): MY BIG WORLD.INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2009
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8785 SW 165TH AVE STE 101
MIAMI FL
33193-5827
US

IV. Provider business mailing address

9010 SW 137TH AVE SUITE 242
MIAMI FL
33186-1413
US

V. Phone/Fax

Practice location:
  • Phone: 305-388-0004
  • Fax: 305-388-8009
Mailing address:
  • Phone: 305-388-0004
  • Fax: 305-388-8009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License NumberSI 1242
License Number StateFL

VIII. Authorized Official

Name: MS. MARLENE TAPANES
Title or Position: OWNER
Credential: B.S,SLPA- I.T.D.S.
Phone: 305-388-0004