Individual
ARIELA ITZEL CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
10821 BOYETTE RD, RIVERVIEW, FL 33569-8012
(813) 374-4374
Mailing address
5623 BLOUNT AVE, SARASOTA, FL 34231-8363
(941) 993-5427
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI4814
FL
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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