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Organization
NU LIFESTYLE LLC
Active
Organization
NU LIFESTYLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIA SHRAYEV MS CCC-SLP (SPEECH PATHOLOGIST)
(240) 388-7387
Entity
Organization
Contact information
Practice address
1080 SATINLEAF ST, HOLLYWOOD, FL 33019-4815
(240) 388-7387
Mailing address
1080 SATINLEAF ST, HOLLYWOOD, FL 33019-4815
(240) 388-7387
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 9274
FL
Other
Enumeration date
11/14/2011
Last updated
07/13/2016
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