MEDICARE: BRIDGE TO THRIVE CHILDRENS CENTER 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	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1568331858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGE TO THRIVE CHILDRENS CENTER LLC

Provider Business Mailing Address
First Line	:	7897 SW 101ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-8127
Country	:	US
Telephone Number	:	305-318-3932
Fax Number	:

Provider Business Practice Location Address
First Line	:	7897 SW 101ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-8127
Country	:	US
Telephone Number	:	305-318-3932
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. NIDIA MARIE GARCIA
Credential	:
Telephone Number	:	305-318-3932

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	11/04/2025

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