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Individual
MARIA ROSA BREA
Active
Individual
MARIA ROSA BREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP, PHD
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6995
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889410800
—
FL
01
—
S2750
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/20/2013
Last updated
04/14/2015
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