MEDICARE: MS. JILL MELISSA SCHWARTZ M.A., CCC -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	235Z00000X	Speech-Language Pathologist	SA8252	FL

General Provider Information

NPI Number	:	1912041856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JILL MELISSA SCHWARTZ M.A., CCC -SLP

Provider Business Mailing Address
First Line	:	650 WEST AVE APT 1806
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-6364
Country	:	US
Telephone Number	:	786-385-8160
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 WEST AVE APT 1806
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-6364
Country	:	US
Telephone Number	:	786-385-8160
Fax Number	:

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

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	07/09/2007

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