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NPI Code Detail

MEDICARE: ERICA VAZQUEZ SLP-A

MEDICARE:   ERICA  VAZQUEZ  SLP-A
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
12355S0801XSpeech-Language AssistantSI 1873FL

General Provider Information

NPI Number : 1770893539
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA VAZQUEZ SLP-A
Provider Business Mailing Address
First Line : 12494 SW 127TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-6597
Country : US
Telephone Number : 305-279-8070
Fax Number : 305-279-0828
Provider Business Practice Location Address
First Line : 12494 SW 127TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-6597
Country : US
Telephone Number : 305-279-8070
Fax Number : 305-279-0828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2010
Last Update Date : 10/14/2010

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Directions to “ ERICA VAZQUEZ SLP-A” Practice Location

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