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NPI Code Detail

MEDICARE: JENNIFER R OSORIO CCC-SLP

MEDICARE: JENNIFER R OSORIO CCC-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 PathologistSA11047FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093024713
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER R OSORIO CCC-SLP
Provider Business Mailing Address
First Line : 11741 SW 110TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33186-3927
Country : US
Telephone Number : 305-733-3405
Fax Number :
Provider Business Practice Location Address
First Line : 12494 SW 127TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-6597
Country : US
Telephone Number : 305-733-3405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2010
Last Update Date : 07/03/2017

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Directions to “ JENNIFER R OSORIO CCC-SLP” Practice Location

Language Start Address Practice Location
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