Individual
ANTONY A MOUSSIGNAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7760 NW 45TH ST, LAUDERHILL, FL 33351
(954) 336-1375
(754) 223-7061
Mailing address
7760 NW 45TH ST, LAUDERHILL, FL 33351-5708
(954) 336-1375
(754) 223-7061
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
SA10794
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766770100
—
FL
Enumeration date
02/09/2007
Last updated
12/20/2022
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