Individual
DANIELA SODRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2565 N TOLEDO BLADE BLVD, NORTH PORT, FL 34289-9306
(800) 892-0640
Mailing address
10014 N DALE MABRY HWY STE C-100, TAMPA, FL 33618-4426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12341
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811768300
—
FL
Enumeration date
02/22/2007
Last updated
08/20/2018
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