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NPI Code Detail

MEDICARE: LEOANY VAZQUEZ ACOSTA SLP

MEDICARE:   LEOANY  VAZQUEZ ACOSTA  SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSA23734FL

General Provider Information

NPI Number : 1003642380
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEOANY VAZQUEZ ACOSTA SLP
Provider Business Mailing Address
First Line : 138 W 8TH ST APT 17
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4366
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4236 W 16TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-7624
Country : US
Telephone Number : 786-409-2646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2024
Last Update Date : 01/07/2026

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Directions to “ LEOANY VAZQUEZ ACOSTA SLP” Practice Location

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