Individual
HADASA FITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 NE 190TH ST APT 916, AVENTURA, FL 33180-2759
(305) 336-0911
Mailing address
3330 NE 190TH ST APT 916, AVENTURA, FL 33180-2759
(305) 336-0911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ5632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SZ5632
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
10/25/2011
Last updated
10/25/2011
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