Individual
STEPHANIE TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 W HILLSBORO BLVD STE 208, COCONUT CREEK, FL 33073-4397
(305) 305-6367
Mailing address
3372 W 14TH AVE, HIALEAH, FL 33012-4704
(305) 298-0414
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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