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NPI Code Detail

MEDICARE: MRS. MARSHA MARIE DAPHNIS M.S.

MEDICARE: MRS. MARSHA MARIE DAPHNIS M.S.
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 PathologistSA21165FL

General Provider Information

NPI Number : 1922297902
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARSHA MARIE DAPHNIS M.S.
Provider Business Mailing Address
First Line : 1859 VAN BUREN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-5127
Country : US
Telephone Number : 954-920-9000
Fax Number :
Provider Business Practice Location Address
First Line : 1859 VAN BUREN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-5127
Country : US
Telephone Number : 954-920-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2007
Last Update Date : 09/16/2024

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