Healthcare Provider Details

I. General information

NPI: 1982997508
Provider Name (Legal Business Name): EZ TALK 4 KIDZ CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2011
Last Update Date: 05/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 NW 36TH ST STE 643
MIAMI FL
33166-6737
US

IV. Provider business mailing address

1871 NW SOUTH RIVER DR UNIT 1101
MIAMI FL
33125-2774
US

V. Phone/Fax

Practice location:
  • Phone: 305-763-2384
  • Fax: 305-508-4212
Mailing address:
  • Phone: 305-763-2384
  • Fax: 305-508-4212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: MR. NOSLEN SANCHEZ MESA
Title or Position: PRESIDENT
Credential:
Phone: 305-763-2384