Individual
MRS. FABIOLA I MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13200 MCCORMICK DR, TAMPA, FL 33626-3010
(813) 814-5971
(813) 814-5972
Mailing address
13200 MCCORMICK DR, TAMPA, FL 33626-3010
(813) 814-5971
(813) 814-5972
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2355S0801X
Speech-Language Assistant
Primary
SI 1317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013456700
—
FL
Enumeration date
04/13/2007
Last updated
05/28/2019
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