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Organization

PDL THERAPY SERVICES

Active
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Organization

PDL THERAPY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YORDY JULIAN PONCE DE LEON PHARM D (PRESIDENT)
(786) 443-4007
Entity
Organization

Contact information

Practice address
7173 W FLAGLER ST, MIAMI, FL 33144-2601
(786) 443-4007
Mailing address
7173 W FLAGLER ST, MIAMI, FL 33144-2601
(786) 443-4007

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—

Other

Enumeration date
01/23/2023
Last updated
01/23/2023
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