MEDICARE: SINDY JULISSA NAVICHOQUE

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
1	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1053709527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SINDY JULISSA NAVICHOQUE

Provider Business Mailing Address
First Line	:	8846 NW 27TH ST
Second Line	:	CORAL SPRINGS
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5317
Country	:	US
Telephone Number	:	954-644-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	8846 NW 27TH ST
Second Line	:	CORAL SPRINGS
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5317
Country	:	US
Telephone Number	:	954-644-2900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2015
Last Update Date	:	01/06/2015

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Directions to “ SINDY JULISSA NAVICHOQUE ” Practice Location

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