Individual
MR. FREDERICK DICARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
6100 GRIFFIN RD, DAVIE, FL 33314-4416
(954) 262-7786
(954) 262-3940
Mailing address
PO BOX 290370, FT LAUDERDALE, FL 33329-0370
(954) 262-4346
(954) 262-2269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 4402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886395400
—
FL
Enumeration date
09/06/2006
Last updated
01/26/2016
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