Healthcare Provider Details

I. General information

NPI: 1093639304
Provider Name (Legal Business Name): NOORA GICHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4889 S CONGRESS AVE STE 202
PALM SPRINGS FL
33461-4762
US

IV. Provider business mailing address

471 HOLYOKE LN
LAKE WORTH FL
33467-2798
US

V. Phone/Fax

Practice location:
  • Phone: 561-318-5571
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number8707
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: