Individual
MRS. DIANA K VILCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7800 SW 57TH AVE STE 107, SOUTH MIAMI, FL 33143-5515
(786) 529-2558
Mailing address
7800 SW 57TH AVE STE 107, SOUTH MIAMI, FL 33143-5515
(786) 529-2558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA9688
FLORIDA STATE
FL
Enumeration date
07/22/2009
Last updated
01/15/2023
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