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Organization
MIRIAM ELIAS
Active
Organization
MIRIAM ELIAS
Active
Other names
Imagine Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM ELIAS MS, CCC-SLP (DIRECTOR)
(305) 538-4903
Entity
Organization
Contact information
Practice address
1030 NE 175TH ST, MIAMI, FL 33162
(786) 291-7330
(305) 437-8052
Mailing address
1030 NE 175TH ST, MIAMI, FL 33162-1237
(786) 291-7330
(305) 437-8052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889927400
—
FL
Enumeration date
11/24/2012
Last updated
07/21/2022
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