Healthcare Provider Details

I. General information

NPI: 1750285813
Provider Name (Legal Business Name): NICOLE INFANTE SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

287 LANDINGS BLVD
WESTON FL
33327-1114
US

IV. Provider business mailing address

287 LANDINGS BLVD
WESTON FL
33327-1114
US

V. Phone/Fax

Practice location:
  • Phone: 787-470-6584
  • Fax:
Mailing address:
  • Phone: 787-470-6584
  • Fax: 787-470-6584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA24649
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: