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NPI Code Detail

MEDICARE: MRS. CHELSEA ANNE MARTINEZ M.S. CCC-SLP

MEDICARE: MRS. CHELSEA ANNE MARTINEZ M.S. 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
1235Z00000XSpeech-Language PathologistSA15447FL

General Provider Information

NPI Number : 1689198368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHELSEA ANNE MARTINEZ M.S. CCC-SLP
Provider Business Mailing Address
First Line : 7860 SW 21ST ST
Second Line :
City : MIAMI
State : FL
Zip : 33155-6543
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1990 S CANAL DR
Second Line :
City : HOMESTEAD
State : FL
Zip : 33035-1046
Country : US
Telephone Number : 305-246-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2017
Last Update Date : 08/03/2017

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Directions to “ MRS. CHELSEA ANNE MARTINEZ M.S. CCC-SLP” Practice Location

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