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Organization
PEDIATRIC GERIATRIC COMMUNICATIONS DISORDERS, INC
Active
Organization
PEDIATRIC GERIATRIC COMMUNICATIONS DISORDERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS NAVAL PEREZ HENRIQUEZ SLP (PRESIDENT)
(786) 506-4154
Entity
Organization
Contact information
Practice address
19845 NW 54TH PL, MIAMI GARDENS, FL 33055-6156
(786) 506-4154
(786) 916-5858
Mailing address
19845 NW 54TH PL, MIAMI GARDENS, FL 33055-6156
(786) 506-4154
(786) 916-5858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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