MEDICARE: ALEJANDRA SALAZAR

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	2355S0801X	Speech-Language Assistant	SI2669	FL

General Provider Information

NPI Number	:	1205207826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRA SALAZAR

Provider Business Mailing Address
First Line	:	3904 LYMESTONE DR
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33026
Country	:	US
Telephone Number	:	305-753-1171
Fax Number	:

Provider Business Practice Location Address
First Line	:	3904 LYMESTONE DR
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-1010
Country	:	US
Telephone Number	:	305-753-1171
Fax Number	:

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

Provider Enumeration Date	:	10/08/2015
Last Update Date	:	10/08/2015

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Directions to “ ALEJANDRA SALAZAR ” Practice Location

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