Healthcare Provider Details

I. General information

NPI: 1497148589
Provider Name (Legal Business Name): BRIANA SKORIC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2015
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 US HIGHWAY 1
NORTH PALM BEACH FL
33408-3550
US

IV. Provider business mailing address

7956 STEEPLECHASE DR
PALM BEACH GARDENS FL
33418-7805
US

V. Phone/Fax

Practice location:
  • Phone: 561-776-8612
  • Fax: 561-623-7515
Mailing address:
  • Phone: 248-346-6829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA17673
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: