MEDICARE: GUIBY SARDUY 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	SA20818	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1962172775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUIBY SARDUY SLP

Provider Business Mailing Address
First Line	:	19000 SW 317TH TER
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-5505
Country	:	US
Telephone Number	:	786-612-7585
Fax Number	:

Provider Business Practice Location Address
First Line	:	19000 SW 317TH TER
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-5505
Country	:	US
Telephone Number	:	786-612-7585
Fax Number	:

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

Provider Enumeration Date	:	09/14/2021
Last Update Date	:	02/18/2026

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Directions to “ GUIBY SARDUY SLP” Practice Location

Language	Start Address	Practice Location

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