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Organization
OLIVE TREE SPEECH THERAPY
Active
Organization
OLIVE TREE SPEECH THERAPY
Active
Other names
Dino Roar Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAIMIR BERRIOS RODRIGUEZ (SPEECH AND LANGUAGE PATHOLOGIST)
(786) 553-4889
Entity
Organization
Contact information
Practice address
4709 SE 102ND PL UNIT 2-104, BELLEVIEW, FL 34420-2939
(352) 659-3334
Mailing address
5707 SE 116TH ST, BELLEVIEW, FL 34420-4327
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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