Individual
ALYSSA SAMANTHA BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELORS
Contact information
Practice address
17900 NW 5TH ST STE 203, PEMBROKE PINES, FL 33029-2808
(954) 606-5439
Mailing address
6660 W 6TH AVE, HIALEAH, FL 33012-6533
(786) 709-3131
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI5774
FL
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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