MEDICARE: MS. EDITH LISBETH JACIR CCC-SLP

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	SA5276	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669514246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EDITH LISBETH JACIR CCC-SLP

Provider Business Mailing Address
First Line	:	4474 WESTON RD STE 214
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33331-3195
Country	:	US
Telephone Number	:	954-644-2645
Fax Number	:	954-248-1974

Provider Business Practice Location Address
First Line	:	2645 EXECUTIVE PARK DR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331-3624
Country	:	US
Telephone Number	:	954-644-2645
Fax Number	:	954-248-1974

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	09/19/2024

Similar Medicare Providers

1275076481 — MARIELISA MONTERO SAVINON LMFT
Practice Location Address:

2645 EXECUTIVE PARK DR # 200
WESTON, FL
33331-3624

Practice Phone: 336-448-8318
Practice Fax:

1447241542 — DR. LUIS ARNALDO MARCHANY-ALFONSO M.D.
Practice Location Address:

2645 EXECUTIVE PARK DR STE 330
WESTON, FL
33331-3624

Practice Phone: 954-751-4269
Practice Fax: 954-686-2487

1659554491 — PSYCHODYNANIC CONSULTING INC.
Practice Location Address:

2645 EXECUTIVE PARK DR , SUITE 140
WESTON, FL
33331-3624

Practice Phone: 305-801-7232
Practice Fax:

1306029145 — MRS. STELLA RADA M.S., L.M.H.C.
Practice Location Address:

2645 EXECUTIVE PARK DR , SUITE 140
WESTON, FL
33331-3624

Practice Phone: 305-801-7232
Practice Fax:

1710136601 — MEDICAL STAFFING NETWORK, INC.
Practice Location Address:

2645 EXECUTIVE PARK DR STE 105
WESTON, FL
33331-3624

Practice Phone: 954-659-0010
Practice Fax: 954-659-9370

1588802672 — CMA HEALTHCARE, INC.
Practice Location Address:

2645 EXECUTIVE PARK DR
WESTON, FL
33331-3624

Practice Phone: 954-641-9586
Practice Fax: 954-337-3322

Directions to “ MS. EDITH LISBETH JACIR CCC-SLP” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.