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NPI Code Detail

MEDICARE: MIAMI SPEECH THERAPY, LLC

MEDICARE: MIAMI SPEECH THERAPY, LLC
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 PathologistSA11066FL

General Provider Information

NPI Number : 1891203402
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIAMI SPEECH THERAPY, LLC
Provider Business Mailing Address
First Line : 10421 SW 50TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-6227
Country : US
Telephone Number : 305-215-8880
Fax Number :
Provider Business Practice Location Address
First Line : 10421 SW 50TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-6227
Country : US
Telephone Number : 305-215-8880
Fax Number : 305-503-9284
Authorized Official
Title or Position : OWNER
Name : MARTHA BOIARDT
Credential :
Telephone Number : 305-215-8880
Provider Enumeration Date : 01/17/2018
Last Update Date : 01/17/2018

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Directions to “MIAMI SPEECH THERAPY, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.