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Organization
SPEECH AND LANGUAGE PEDIATRIC THERAPY,INC
Active
Organization
SPEECH AND LANGUAGE PEDIATRIC THERAPY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE M HERNANDEZ SPEECH LANGUAGE PATH (PRESIDENT)
(786) 732-6983
Entity
Organization
Contact information
Practice address
12001 SW 128TH CT STE 101, MIAMI, FL 33186-4665
(786) 732-6983
(786) 732-6993
Mailing address
12001 SW 128TH CT STE 101, MIAMI, FL 33186-4665
(786) 732-6983
(786) 732-6993
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SZ6190
FL
Other
Enumeration date
05/27/2013
Last updated
05/27/2013
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