MEDICARE: MISS JULIANE SARDINA

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	235Z00000X	Speech-Language Pathologist	SZ 4025	FL

General Provider Information

NPI Number	:	1154401362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JULIANE SARDINA

Provider Business Mailing Address
First Line	:	7325 BYRON AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-2645
Country	:	US
Telephone Number	:	305-318-5962
Fax Number	:

Provider Business Practice Location Address
First Line	:	7325 BYRON AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-2645
Country	:	US
Telephone Number	:	305-318-5962
Fax Number	:

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	07/08/2007

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Directions to “ MISS JULIANE SARDINA ” Practice Location

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