MEDICARE: FERNANDEZ TORRES ASSOCIATION, LLC

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

General Provider Information

NPI Number	:	1548026487
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FERNANDEZ TORRES ASSOCIATION, LLC

Provider Business Mailing Address
First Line	:	1111 N 72ND AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-5503
Country	:	US
Telephone Number	:	954-624-2906
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 N 72ND AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-5503
Country	:	US
Telephone Number	:	954-624-2906
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	LEIDIN TORRES
Credential	:	SPEECH PATHOLOGIST
Telephone Number	:	954-624-2906

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	02/27/2024

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Directions to “FERNANDEZ TORRES ASSOCIATION, LLC ” Practice Location

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