Individual
ANGELICA M ORTIZ GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6471 MAIN ST, APT. 304, MIAMI LAKES, FL 33014-2254
(787) 672-8111
Mailing address
6471 MAIN ST, APT. 304, MIAMI LAKES, FL 33014-2254
(787) 672-8111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15023
FL
Other
Enumeration date
12/09/2014
Last updated
03/21/2017
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