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NPI Code Detail

MEDICARE: MS. MIA BROUWER

MEDICARE:  MS. MIA  BROUWER
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 PathologistSZ4891FL
2235Z00000XSpeech-Language PathologistSA10507FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841529864
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MIA BROUWER
Provider Business Mailing Address
First Line : 1818 SW 1ST STREET
Second Line : SUITE 1502
City : MIAMI
State : FL
Zip : 33129-1179
Country : US
Telephone Number : 305-803-5360
Fax Number : 305-665-5787
Provider Business Practice Location Address
First Line : 1441 SW 1ST STREET
Second Line : # 1502
City : MIAMI
State : FL
Zip : 33129-2202
Country : US
Telephone Number : 305-541-3400
Fax Number : 305-541-3344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2009
Last Update Date : 05/18/2011

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Directions to “ MS. MIA BROUWER ” Practice Location

Language Start Address Practice Location
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