Organization
COLLIGO SPEECH LANGUAGE PATHOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS-ANN CHIN-AMBROSE (PRESIDENT)
(305) 283-4800
Entity
Organization
Contact information
Practice address
8830 S LAKE DASHA DR, PLANTATION, FL 33324-3011
(305) 283-4800
Mailing address
8830 S LAKE DASHA DR, PLANTATION, FL 33324-3011
(305) 283-4800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111133300
—
FL
Enumeration date
05/21/2021
Last updated
01/21/2022
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