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Individual

LYNDA HEREDIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
401 CORAL WAY STE 403, CORAL GABLES, FL 33134-4926
(305) 446-1098
(305) 446-1638
Mailing address
401 CORAL WAY STE 403, CORAL GABLES, FL 33134-4926
(305) 446-1098
(305) 446-1638

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
FL
235Z00000X
Speech-Language Pathologist
SA 3155
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
888005100
FL
Enumeration date
12/22/2006
Last updated
11/11/2025
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