MEDICARE: CLAUDIA FUNDORA

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	2355A2700X	Audiology Assistant	AI605	FL
2	2355S0801X	Speech-Language Assistant	SI7294	FL
3	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1326875352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA FUNDORA

Provider Business Mailing Address
First Line	:	21 E 3RD ST APT 101
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4982
Country	:	US
Telephone Number	:	772-812-4137
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 E 3RD ST APT 101
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4982
Country	:	US
Telephone Number	:	772-812-4137
Fax Number	:

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

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	01/29/2026

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Directions to “ CLAUDIA FUNDORA ” Practice Location

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