Organization
ADVANCED THERAPY OF SOUTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SIERRA (PRESIDENT)
(786) 412-3162
Entity
Organization
Contact information
Practice address
9399 NW 121ST TER, HIALEAH GARDENS, FL 33018-4225
(786) 412-3162
Mailing address
9399 NW 121ST TER, HIALEAH GARDENS, FL 33018-4225
(786) 412-3162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120508000
—
FL
Enumeration date
04/07/2023
Last updated
03/19/2025
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