MEDICARE: MRS. ELANE R FRIEDEL 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	231H00000X	Audiologist	AY 326	FL
2	235Z00000X	Speech-Language Pathologist	SA 5621	FL

General Provider Information

NPI Number	:	1710089933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELANE R FRIEDEL SLP

Provider Business Mailing Address
First Line	:	2725 HUNTER RD
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331-3008
Country	:	US
Telephone Number	:	954-262-7735
Fax Number	:	954-262-2847

Provider Business Practice Location Address
First Line	:	6100 GRIFFIN RD
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33314-4416
Country	:	US
Telephone Number	:	954-262-7735
Fax Number	:	954-262-2847

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

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	09/11/2025

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