Healthcare Provider Details

I. General information

NPI: 1942928924
Provider Name (Legal Business Name): NETHANIA TATYANA OXCES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9471 SUNSET STRIP
SUNRISE FL
33322-3632
US

IV. Provider business mailing address

9471 SUNSET STRIP
SUNRISE FL
33322-3632
US

V. Phone/Fax

Practice location:
  • Phone: 954-850-3209
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ13375
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: