Organization
ADRIENNE PETERS CCC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANNE A GOLDBERG (OFFICE MANAGER)
(305) 448-7101
Entity
Organization
Contact information
Practice address
2645 SW 37TH AVE, SUITE 304, MIAMI, FL 33133
(305) 448-7101
(305) 442-8730
Mailing address
2645 SW 37TH AVE, SUITE 304, MIAMI, FL 33133
(305) 448-7101
(305) 442-8730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 1190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887325900
—
FL
Enumeration date
11/29/2006
Last updated
05/01/2008
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