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Individual

MRS. ADRIANA PATRICIA MADRID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10340 NW 12TH PL, PLANTATION, FL 33322-6648
(305) 610-7305
(954) 861-2920
Mailing address
10340 NW 12TH PL, PLANTATION, FL 33322-6643
(305) 610-7305
(954) 861-2920

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 12827
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007234800
FL
Enumeration date
03/02/2012
Last updated
04/18/2014
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