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Individual
MS. MIRLLEINS PEREZ GONZALEZ
Active
Individual
MS. MIRLLEINS PEREZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.- SLP.
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 14128
FL
252Y00000X
Early Intervention Provider Agency
SA14128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010506800
—
FL
05
—
013546100
—
FL
Enumeration date
05/18/2011
Last updated
10/21/2023
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