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NPI Code Detail

MEDICARE: LATOYA FRIDAY IOMT

MEDICARE:   LATOYA  FRIDAY  IOMT
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
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1508123258
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATOYA FRIDAY IOMT
Provider Business Mailing Address
First Line : 2719 HOLLYWOOD BLVD # A-2014
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-4821
Country : US
Telephone Number : 543-542-5559
Fax Number :
Provider Business Practice Location Address
First Line : 2719 HOLLYWOOD BLVD # A-2014
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-4821
Country : US
Telephone Number : 954-354-2555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2012
Last Update Date : 12/13/2022

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Directions to “ LATOYA FRIDAY IOMT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.