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Organization
PEDIATRIC DEVELOPMENT GROUP
Active
Organization
PEDIATRIC DEVELOPMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GYASI AZPEITIA OTR/L (ADMINISTRATIVE DIRECTOR)
(305) 274-9966
Entity
Organization
Contact information
Practice address
9095 SW 87TH AVE, SUITE 501, MIAMI, FL 33176-2310
(305) 274-9966
(305) 274-5007
Mailing address
9095 SW 87TH AVE, SUITE 501, MIAMI, FL 33176-2310
(305) 274-9966
(305) 274-5007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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