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NPI Code Detail

MEDICARE: MICHELLE SOSA

MEDICARE: MICHELLE SOSA
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 PathologistSA 6656FL

General Provider Information

NPI Number : 1932563863
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE SOSA
Provider Business Mailing Address
First Line : 4419 TRAM RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-2559
Country : US
Telephone Number : 850-747-5401
Fax Number :
Provider Business Practice Location Address
First Line : 4419 TRAM RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-2559
Country : US
Telephone Number : 850-747-5401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2016
Last Update Date : 04/06/2016

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Directions to “ MICHELLE SOSA ” Practice Location

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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.

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