MEDICARE: ERIKA FARRES

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	SI1125	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1316123318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA FARRES

Provider Business Mailing Address
First Line	:	17670 NW 78TH AVE
Second Line	:	SUITE 113
City	:	HIALEAH
State	:	FL
Zip	:	33015-3664
Country	:	US
Telephone Number	:	305-512-5757
Fax Number	:	305-512-5755

Provider Business Practice Location Address
First Line	:	17670 NW 78TH AVE
Second Line	:	SUITE 113
City	:	HIALEAH
State	:	FL
Zip	:	33015-3664
Country	:	US
Telephone Number	:	305-512-5757
Fax Number	:	305-512-5755

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

Provider Enumeration Date	:	01/21/2008
Last Update Date	:	01/21/2008

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Directions to “ ERIKA FARRES ” Practice Location

Language	Start Address	Practice Location

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