NPI Code Detail JSON Logo

1467208736 NPI number — IM NEUROSPEECH & SWALLOW SOLUTIONS LLC

NPI Number: 1467208736
Health Care Provider/Practitioner: IM NEUROSPEECH & SWALLOW SOLUTIONS LLC

Information about “1467208736” NPI (IM NEUROSPEECH & SWALLOW SOLUTIONS LLC) exists in 1467208736 in HTML format HTML  |  1467208736 in plain Text format TXT  |  1467208736 in PDF (Portable Document Format) PDF  |  1467208736 in an XML format XML  formats.

NPI Number : 1467208736 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467208736",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "IM NEUROSPEECH & SWALLOW SOLUTIONS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5335 NW 87TH AVE STE 109-116",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DORAL",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33178-2833",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-763-0480",
    "MailingAddressFaxNumber": "786-206-3476",
    "FirstLinePracticeLocationAddress": "3625 NW 82ND AVE STE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DORAL",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33166-7602",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-763-0480",
    "PracticeLocationAddressFaxNumber": "786-206-3476",
    "EnumerationDate": "04/27/2024",
    "LastUpdateDate": "07/26/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MELENDEZ",
    "AuthorizedOfficialFirstName": "ISABEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SPEECH AND LANGUAGE PATHOLOGIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS CCC-SLP",
    "AuthorizedOfficialTelephoneNumber": "786-763-0480",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QH0700X",
          "TaxonomyName": "Hearing and Speech Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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