MEDICARE: JESSICA GARRIDO

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	SZ7410	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

General Provider Information

NPI Number	:	1710342019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA GARRIDO

Provider Business Mailing Address
First Line	:	701 BRICKELL KEY BLVD
Second Line	:	SUITE 100
City	:	MIAMI
State	:	FL
Zip	:	33131-2674
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 BRICKELL KEY BLVD
Second Line	:	SUITE 100
City	:	MIAMI
State	:	FL
Zip	:	33131-2674
Country	:	US
Telephone Number	:	305-632-3359
Fax Number	:

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

Provider Enumeration Date	:	12/31/2015
Last Update Date	:	12/31/2015

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Directions to “ JESSICA GARRIDO ” Practice Location

Language	Start Address	Practice Location

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