Individual
EBONY PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12555 ORANGE DR STE 101, DAVIE, FL 33330-4304
(954) 800-0741
(954) 866-0264
Mailing address
3171 NW 4TH CT, LAUDERHILL, FL 33311-8417
(954) 851-4381
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI5824
FL
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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