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NPI 1598362204

NPI 1598362204 : SPEECH OF MIAMI INC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1598362204
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPEECH OF MIAMI INC 
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Dates
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    Enumeration Date     |    10/06/2020
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    Last Update Date     |    10/17/2025
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Provider Practice Location Address
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    Address Line         |    248 NW 42ND AVE FL 2 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33126-5481
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    Country              |    US
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    Telephone            |    786-441-6647
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    Fax                  |    786-329-6464
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Provider Business Mailing Address
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    Address Line         |    14243 SW 80TH AVE 
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    City                 |    PALMETTO BAY
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    State                |    FL
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    Zip                  |    33158-1527
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    Country              |    US
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    Telephone            |    786-441-6647
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    Fax                  |    786-329-6464
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     CAROLINA  FERNANDEZ 
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    Credential           |    SLP
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    Telephone            |    786-441-6647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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