Individual
ENID M. SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 BONAVENTURE BLVD STE 123, WESTON, FL 33326-4041
(954) 612-7771
(754) 701-5539
Mailing address
1555 BONAVENTURE BLVD STE 123, WESTON, FL 33326-4041
(954) 612-7771
(754) 701-5539
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA13661
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SZ6609
FLORIDA BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
—
Enumeration date
04/07/2014
Last updated
05/15/2023
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