Healthcare Provider Details

I. General information

NPI: 1508060906
Provider Name (Legal Business Name): SILVIA ALMEIDA VAQUERO L.M.F.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 10/30/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 NW 107TH AVE SUITE 109
SWEETWATER FL
33172-2317
US

IV. Provider business mailing address

2840 SW 3RD AVE
MIAMI FL
33129-2317
US

V. Phone/Fax

Practice location:
  • Phone: 786-762-2952
  • Fax: 786-762-2953
Mailing address:
  • Phone: 305-857-0050
  • Fax: 305-854-4948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT0001390
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: