Healthcare Provider Details

I. General information

NPI: 1922825652
Provider Name (Legal Business Name): DANNA MEJIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1955 N FEDERAL HWY UNIT 253
POMPANO BEACH FL
33062-1036
US

IV. Provider business mailing address

9000 RAMBLEWOOD DR APT 215
CORAL SPRINGS FL
33071-7132
US

V. Phone/Fax

Practice location:
  • Phone: 954-580-2520
  • Fax:
Mailing address:
  • Phone: 954-422-0936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: