Individual
ANGELINA STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10200 NW 25TH ST STE A-108, DORAL, FL 33172-5921
(786) 717-5649
Mailing address
3333 SW 89TH AVE, MIAMI, FL 33165-4235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI4863
FL
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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